Individual
THARA L HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2591 BYRD AVE, SANFORD, FL 32771
(321) 262-3531
Mailing address
P.O. BOX 1045, SANFORD, FL 32772
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
OT8678
FL
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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