Individual
MISS AUNDREA ELNORA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
(888) 880-9270
Mailing address
325 SPEARS CREEK CHURCH RD, APT 17, ELGIN, SC 29045-8299
(843) 263-5700
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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