Individual
LEONA TRENT HAMRICK
Active
Individual
LEONA TRENT HAMRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E7667X
PTAN
—
01
—
PA9101855
LICENSE
—
Enumeration date
07/05/2007
Last updated
08/14/2015
Update your record
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