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Individual

MR. FABIO ISSAMU HAYABE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
435 ARDEN AVE STE 560, GLENDALE, CA 91203-1142
(818) 725-1025
(888) 863-5290
Mailing address
5002 TUJUNGA AVE APT 403, NORTH HOLLYWOOD, CA 91601-5014
(323) 449-5270

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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