Individual
DR. JONATHAN CLEVELAND HAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8975 PROVIDENCE LANE, GRANITE BAY, CA 95746
(916) 390-2661
Mailing address
8975 PROVIDENCE LANE, GRANITE BAY, CA 95746
(916) 390-2661
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
G81956
CA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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