Individual
MR. JUSTIN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
129 MINEOLA ST, INGRAM, TX 78025-3025
(785) 313-0275
Mailing address
129 MINEOLA ST, INGRAM, TX 78025-3025
(785) 313-0275
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
326990
TX
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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