Individual
SHAQUAN HAMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 RENZA LN, SMYRNA, DE 19977-1679
(914) 620-7512
Mailing address
41 RENZA LN, SMYRNA, DE 19977-1679
(914) 620-7512
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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