Provider Demographics
NPI:1649512211
Name:HOCK, LINDA MARIE (RRW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:HOCK
Suffix:
Gender:F
Credentials:RRW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5627 WALNUT AVE
Mailing Address - Street 2:22
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-5341
Mailing Address - Country:US
Mailing Address - Phone:916-342-7389
Mailing Address - Fax:
Practice Address - Street 1:5627 WALNUT AVE
Practice Address - Street 2:22
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-5341
Practice Address - Country:US
Practice Address - Phone:916-342-7389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARW6070174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist