Individual
TERESA MAURICIO HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14404 NW 154TH TER, ALACHUA, FL 32615-8648
(352) 339-3925
Mailing address
14404 NW 154TH TER, ALACHUA, FL 32615-8648
(352) 339-3925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9247669
FL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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