Jeffrey Allen Hancock
Adult Companion in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1992991871
StatusActive
Last updated in NPPESSep 24, 2007
Details
- NPI
- 1992991871
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey Allen Hancock
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2007
- Last updated
- Sep 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | 689005996 | FL | Yes |
Practice location
1849 Se Dranson CirPort St Lucie, FL 34952-6627
Phone 772-380-9400 · Fax 772-380-9499
Mailing address
1849 Se Dranson CirPort St Lucie, FL 34952-6627
Phone 772-380-9400 · Fax 772-380-9499
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