Individual
MARY LOU HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3602 KURTZ ST, SAN DIEGO, CA 92110-4432
(619) 448-4444
(619) 550-1089
Mailing address
3602 KURTZ ST, SAN DIEGO, CA 92110-4432
(619) 448-4444
(619) 550-1089
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B2000013593
CA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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