Individual
DEMONTRAY HANKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1126 W FOOTHILL BLVD STE 150, UPLAND, CA 91786-3778
(909) 982-8641
Mailing address
2421 FOOTHILL BLVD, 17B, LA VERNE, CA 91750-3001
(562) 522-9106
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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