Individual
LAVONDA RUTH HANKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20345 W COUNTRY CLUB DR # TH-14, AVENTURA, FL 33180-1631
(305) 792-4931
Mailing address
1348 SW 181ST AVE, PEMBROKE PINES, FL 33029-4903
(786) 474-8800
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750921
—
FL
Enumeration date
05/23/2019
Last updated
06/04/2019
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