Individual
MS. HAMPRENATE SERVICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2789 ORITZ AVENUE, FORT MYERE, FL 33905
(239) 791-1586
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 791-1586
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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