Individual
EVIE HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18965 PECAN LN, ROBERTSDALE, AL 36567-6102
(251) 752-5649
Mailing address
18965 PECAN LN, ROBERTSDALE, AL 36567-6102
(251) 752-5649
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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