Individual
MICHELLE HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1525 EDGEWATER BEACH DR, LAKELAND, FL 33805-4737
(863) 680-2229
(888) 299-6337
Mailing address
1215 S LIGHTSEY AVE, BARTOW, FL 33830-6536
(863) 393-8597
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW311
FL
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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