Individual
JENNIFER D HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8505 IZARD ST, OMAHA, NE 68114-2940
(402) 657-1340
Mailing address
8505 IZARD ST, OMAHA, NE 68114-2940
(402) 657-1340
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
211099
TX
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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