Provider Demographics
NPI:1730553785
Name:HAMILTON, ANNA (MA, MS)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:PHA PHA
Other - Middle Name:
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3498 18TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1777
Mailing Address - Country:US
Mailing Address - Phone:415-652-0772
Mailing Address - Fax:
Practice Address - Street 1:650 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-2611
Practice Address - Country:US
Practice Address - Phone:415-652-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program