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Individual

TINA MARIE HAMBUCH-HAWKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, DABMGG

Contact information

Practice address
5111 PROVIDENCE RD, SAN DIEGO, CA 92117-1943
(949) 923-7887
Mailing address
5111 PROVIDENCE RD, SAN DIEGO, CA 92117-1943
(949) 923-7887

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
DRN-01014790
CA

Other

Enumeration date
01/21/2026
Last updated
01/21/2026
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