Individual
STEPHANIE KAY HAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE STE 5, RIVERSIDE, CA 92507-2498
(951) 509-2400
Mailing address
2085 RUSTIN AVE STE 5, RIVERSIDE, CA 92507-2498
(951) 509-2400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KRPFYN
CA
Other
Enumeration date
11/10/2010
Last updated
04/18/2023
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