Individual
ELIZABETH HANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10351 SE MARICAMP RD, OCALA, FL 34472-2517
(813) 382-1527
Mailing address
621 SE 39TH TER, OCALA, FL 34471-3175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3368
FL
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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