Provider Demographics
NPI:1790373181
Name:HAMMOND, ELIZABETH GEORGIA (DOULA)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:GEORGIA
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 RHEEM BLVD
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556-2324
Mailing Address - Country:US
Mailing Address - Phone:925-330-4567
Mailing Address - Fax:
Practice Address - Street 1:613 RHEEM BLVD
Practice Address - Street 2:
Practice Address - City:MORAGA
Practice Address - State:CA
Practice Address - Zip Code:94556-2324
Practice Address - Country:US
Practice Address - Phone:925-330-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula