Individual
HADIJAH VANADA EGGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3939 HOLLYWOOD BLVD, MEDICAL RESEARCH CENTER: AL NISA CLINIC 3RD FLOOR, HOLLYWOOD, FL 33021-6749
(954) 272-6011
(954) 272-6012
Mailing address
3939 HOLLYWOOD BLVD, MEDICAL RESEARCH CENTER: AL NISA CLINIC 3RD FLOOR, HOLLYWOOD, FL 33021-6749
(954) 272-6011
(954) 272-6012
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2589
FL
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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