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DR. JASON M. HATAYE M.D.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1962654517

Individual Registrant:
DR. JASON M. HATAYE M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
572 TURQUOISE DRIVE  HERCULES, CA 94547 US
Tel: 612-701-5737  Fax: --

Contact information for business:
572 TURQUOISE DRIVE  HERCULES, CA 94547 US
Tel: 612-701-5737  Fax: --

Registration Information:
NPI: 1962654517
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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