Provider Demographics
NPI:1811461452
Name:HAMILTON, ROMUNDA SHUNTA
Entity type:Individual
Prefix:
First Name:ROMUNDA
Middle Name:SHUNTA
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-3251
Mailing Address - Country:US
Mailing Address - Phone:870-826-1869
Mailing Address - Fax:
Practice Address - Street 1:305 N MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-3251
Practice Address - Country:US
Practice Address - Phone:870-826-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management