Lawanda Harley-Hampton X

NPI #1104350487 in Burleson, Texas

Provider Information

NPI Number: 1104350487
Entity Type: Individual
Name: Lawanda Harley-Hampton X
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Apr 13, 2017
Last Updated: Apr 13, 2017

Practice Location

Address: 1320 N.W. SUMMERCREST BLVD.
Address 2: APT. 211
City: Burleson
State: Texas
ZIP Code: 76028-9434
Phone: (708) 305-0855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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