Healthcare Provider Details
I. General information
NPI: 1730620089
Provider Name (Legal Business Name): REBEKAH LINDSEY HAMMER CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/19/2017
Last Update Date: 03/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31276 RALEIGH LN # 366
AUBERRY CA
93602-9697
US
IV. Provider business mailing address
31276 RALEIGH LN # 366
AUBERRY CA
93602-9697
US
V. Phone/Fax
- Phone: 559-349-2593
- Fax: 559-236-3440
- Phone: 559-349-2593
- Fax: 559-236-3440
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | LM480 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: