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Individual

MR. FABIO ISSAMU HAYABE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
758593
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
758593
CALIFORNIA BOARD OF REGISTERED NURSING- BRN
CA
Enumeration date
03/15/2021
Last updated
03/15/2021
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