Individual
THERESSA W HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 KETTLES AVE, LAKELAND, FL 33805-3664
(863) 944-5155
Mailing address
1422 KETTLES AVE, LAKELAND, FL 33805-3664
(863) 944-5155
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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