Individual
NADINE M HAMMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MS
Contact information
Practice address
12815 HEACOCK ST, MORENO VALLEY, CA 92553-2836
(833) 574-2273
Mailing address
12815 HEACOCK ST, MORENO VALLEY, CA 92553-3116
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
20A19668
CA
Other
Enumeration date
04/03/2019
Last updated
06/29/2023
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