Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM271 | CA |
NPI | 1043528706 |
---|---|
Provider Name | Alina Hamrick |
First Address | Victorville, CA 92393 |
Second Address | Victorville, CA 92393-7030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2010 |
Last Update Date | 24/07/2020 |