Individual
HANNAH CUDDEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 BANDON DR, GRAND BLANC, MI 48439-8154
(810) 513-2610
Mailing address
1338 W MAUMEE ST APT 141, ADRIAN, MI 49221-1881
(810) 513-2610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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