Individual
BECKY LASHONE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4446 HENDRICKS AVE, 260, JACKSONVILLE, FL 32207-6369
(904) 962-1860
Mailing address
4446 HENDRICKS AVE, 260, JACKSONVILLE, FL 32207-6369
(904) 962-1860
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
685167396
FL
171W00000X
Contractor
685167398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685167396
—
FL
05
—
685167398
—
FL
Enumeration date
12/23/2010
Last updated
12/23/2010
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