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Individual

SHARON L HAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 MEDICAL PLZ, SUITE 140, LOS ANGELES, CA 90095-8344
(310) 319-1234
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 319-1234

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G82238
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G822380
CA
Enumeration date
09/15/2006
Last updated
06/28/2010
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