Provider Demographics
NPI:1669750865
Name:HARMON, HOPE ANN (IDC)
Entity type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:ANN
Last Name:HARMON
Suffix:
Gender:F
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3695 NORMAN SCOTT RD # C197
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92136-5309
Mailing Address - Country:US
Mailing Address - Phone:757-478-9657
Mailing Address - Fax:
Practice Address - Street 1:3695 NORMAN SCOTT RD # C197
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92136-5309
Practice Address - Country:US
Practice Address - Phone:757-478-9657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman