Individual
ALACIA MAHNKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 507-3646
Mailing address
7757 62ND WAY N, APT B, PINELLAS PARK, FL 33781-3217
(727) 466-7227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9107766
FL
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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