Individual
VIVIAN HODGKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5032 NW 24TH CIR, BOCA RATON, FL 33431-4330
(561) 994-2152
Mailing address
5032 NW 24TH CIR, BOCA RATON, FL 33431-4330
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5155847
FL
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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