Nanette Kay Maddox

NPI #1548592645 in Crestview, Florida

Provider Information

NPI Number: 1548592645
Entity Type: Individual
Name: Nanette Kay Maddox
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Feb 1, 2010
Last Updated: Feb 1, 2010

Practice Location

Address: 424 W JAMES LEE BLVD
City: Crestview
State: Florida
ZIP Code: 32536-2638
Phone: (850) 689-2260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other	246Z00000X
Technician, Other	247200000X	Primary

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