Individual
JUDY HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9504 MARTINDALE RD, COLUMBIA, SC 29223-2050
(201) 757-2311
Mailing address
9504 MARTINDALE RD, COLUMBIA, SC 29223-2050
(201) 757-2311
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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