Individual
MOKETTA NASHA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11546 216TH ST, LAKEWOOD, CA 90715-2535
(424) 414-3713
Mailing address
11546 216TH ST, LAKEWOOD, CA 90715-2535
(424) 414-3713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
D8112974
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
372500000X
Chore Provider
—
—
376G00000X
Nursing Home Administrator
Primary
6073665740
CA
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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