Individual
WENDY A MCBEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 HARTFORD AVE, HOLLY HILL, FL 32117-3537
(386) 852-5474
Mailing address
911 HARTFORD AVE, HOLLY HILL, FL 32117-3537
(386) 852-5474
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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