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Deidra Hanson

NPI 1952037046 · on the registry since 2022 · sole proprietor

Practice

Address
560 Nw 30th Ter
Fort Lauderdale, FL 33311
Phone
(954) 643-1121

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida