Provider Demographics
NPI:1902118367
Name:HAMMAC, GENA KENITRA (DVM)
Entity Type:Individual
Prefix:DR
First Name:GENA
Middle Name:KENITRA
Last Name:HAMMAC
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 NW DARROW ST
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-3309
Mailing Address - Country:US
Mailing Address - Phone:251-259-7612
Mailing Address - Fax:
Practice Address - Street 1:425 NW DARROW ST
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-3309
Practice Address - Country:US
Practice Address - Phone:251-259-7612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00008909174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian