Individual
LYSONJAH HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17718 PITTS RD, RODESSA, LA 71069-9184
(318) 540-9493
Mailing address
17718 PITTS RD, RODESSA, LA 71069-9184
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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