Individual
CONSTANCE HUDACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6424 TATMAN RD SE, UHRICHSVILLE, OH 44683-6317
(330) 432-0785
Mailing address
6424 TATMAN RD SE, UHRICHSVILLE, OH 44683-6317
(330) 432-0785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.050490.MEDS-IV
OH
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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