Individual
NYKELIA HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 196TH ST SW, LYNNWOOD, WA 98036-7010
(425) 984-0788
Mailing address
77 BROADLEAF DR, BLACKVILLE, SC 29817-3750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN10023966
OR
164W00000X
Licensed Practical Nurse
Primary
PN5242732
FL
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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