Individual
MRS. SUSAN E. HAMMON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
MAGTFTC MCAGCC, BOX 788250, TWENTYNINE PALMS, CA 92278-8250
(760) 830-2194
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 499-3899
(760) 499-3393
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
78225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222785
RN LICENSE
CA
Enumeration date
12/29/2005
Last updated
03/07/2023
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