Healthcare Provider Details

I. General information

NPI: 1619906898
Provider Name (Legal Business Name): ALISON HILARY WORCESTER LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3566 17TH ST #4
SAN FRANCISCO CA
94110-6500
US

IV. Provider business mailing address

3566 17TH ST #4
SAN FRANCISCO CA
94110-6500
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-7028
  • Fax:
Mailing address:
  • Phone: 415-255-7028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM 170
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: