Individual
CYNTHIA HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
961 TOWHEE RD, TALLAHASSEE, FL 32305-8409
(850) 544-4583
Mailing address
961 TOWHEE RD, TALLAHASSEE, FL 32305-8409
(850) 544-4583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1130481
FL
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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