MEDICARE: MRS. JAMIE HOBOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1083166375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE HOBOR

Provider Business Mailing Address
First Line	:	740 LYNCH CIR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5750
Country	:	US
Telephone Number	:	757-354-3008
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 LYNCH CIR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5750
Country	:	US
Telephone Number	:	757-354-3008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2016
Last Update Date	:	11/02/2016

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