Individual
MRS. DEMA ANNETTE HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 HOGSKIN RD, MANCHESTER, KY 40962-8136
(606) 598-6587
Mailing address
1323 HOGSKIN RD, MANCHESTER, KY 40962-8136
(606) 598-6587
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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