Tamiko Latiese Hodge, OWNER
Tamiko Latiese Hodge, OWNER is a Homemaker in Lake Wales, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1425 Morningside DrLake Wales, FL 33853-3911
Phone: (863) 241-6590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1194443952 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OWNER |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2022 |
| Last updated in NPPES | August 18, 2022 |
| Certification date | August 18, 2022 |
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