Individual
ALICE ZANDRA HAUGABOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 CORONADO AVE, FORT PIERCE, FL 34982-3633
(772) 208-9433
Mailing address
1405 CORONADO AVE, FORT PIERCE, FL 34982-3633
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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