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Dwayne Hudson

Technician, Other in Lauderdale Lakes, FL. Individual provider (NPI-1).

NPI number1669919619
StatusActive
Last updated in NPPESJan 30, 2017

Details

NPI
1669919619
Entity type
Individual (NPI-1)
Name
Mr. Dwayne Hudson
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 30, 2017
Last updated
Jan 30, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

2740 Somerset Dr Apt 401
Lauderdale Lakes, FL 33311-2785

Phone 516-643-8402

Mailing address

2740 Somerset Dr Apt 401
Lauderdale Lakes, FL 33311-2785

Phone 516-643-8402

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