Organization
HDC PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ROSE HUDSON DE CORONA CRNP (SOLE MEMBER)
(205) 960-5208
Entity
Organization
Contact information
Practice address
3081 LORNA RD STE 101, VESTAVIA HILLS, AL 35216-4509
(205) 960-5208
Mailing address
2004 HICKORY RD, VESTAVIA HILLS, AL 35216-1520
(205) 960-5208
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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