Individual
HANNAH COLEAN MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10407 LAKE GROVE DR, ODESSA, FL 33556-2508
(813) 525-0191
Mailing address
10407 LAKE GROVE DR, ODESSA, FL 33556-2508
(813) 525-0191
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
MA63884
FL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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