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Individual

GEORGIO HAMMONDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7808 PACIFIC AVE # 9, TACOMA, WA 98408-7039
(866) 240-0808
Mailing address
6605 6TH AVE APT 13, TACOMA, WA 98406-2014
(509) 491-6093

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61131490
WA

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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