Individual
MADELINE SMITH HATIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8709 MANCHESTER CT, TALLAHASSEE, FL 32311-9431
(850) 322-9513
Mailing address
8709 MANCHESTER CT, TALLAHASSEE, FL 32311-9431
(850) 322-9513
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
755731
FL
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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