Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 0024176264 | VA |
NPI | 1154806040 |
---|---|
Provider Name | Sharon Pauline Hawout |
First Address | Madison Heights, VA 24572-5987 |
Second Address | Forest, VA 24551-2656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2018 |
Last Update Date | 26/09/2018 |