Provider Demographics
NPI:1043528706
Name:HAMRICK, ALINA (CPM, LM)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 702
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92393
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16333 GREEN TREE BLVD #702
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92393-7030
Practice Address - Country:US
Practice Address - Phone:909-447-9325
Practice Address - Fax:760-780-1248
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM271176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife