Individual
MEDORA JEAN HAMRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBS
Contact information
Practice address
849 LAYLA DR, FATE, TX 75087-0228
(214) 542-6339
Mailing address
849 LAYLA DR, FATE, TX 75087-0228
(214) 542-6339
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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