Individual
KIMBERLY RENEE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5 NORMAN HALL, NEWARK, DE 19711-5923
(302) 743-6595
Mailing address
5 NORMAN HALL, NEWARK, DE 19711-5923
(302) 743-6595
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT0002988
DE
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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