Individual
TANIKO HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5927 OLD TIMUQUANA RD, JACKSONVILLE, FL 32210-7889
(904) 933-7389
Mailing address
5560 CLIFF ST, JACKSONVILLE, FL 32205-4771
(904) 314-0374
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPS.0101132-P
FL
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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