Individual
BETTY HUGHES HACKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
542 MOUNTAIN SHADOW LN, BLOOMSBURG, PA 17815-7533
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9968573
PA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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