Individual
MS. TIMOTHY H ADDERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2518 OLEANDER BLVD, FORT PIERCE, FL 34982-5814
(772) 467-9765
Mailing address
2518 OLEANDER BLVD, FORT PIERCE, FL 34982-5814
(772) 467-9765
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
FL
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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