Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 34422 | CA |
NPI | 1912463142 |
---|---|
Provider Name | Monique M Hamon |
First Address | Pleasant Hill, CA 94523-4316 |
Second Address | Pleasant Hill, CA 94523-4316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2019 |
Last Update Date | 03/04/2019 |