Individual
TAMEIKA JULENE NICOLA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7151 NW 20TH CT, SUNRISE, FL 33313-3803
(754) 281-2498
Mailing address
7151 NW 20TH CT, SUNRISE, FL 33313-3803
(754) 281-2498
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9472603
FL
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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