Individual
TYRENZA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 SAINT JAMES RD, ORLANDO, FL 32808-6221
(407) 393-7104
Mailing address
1258 SAINT JAMES RD, ORLANDO, FL 32808-6221
(407) 393-7104
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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