Individual
WAIL A HAYAJNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5644
(314) 268-2712
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5644
(314) 268-2712
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2020038003
MO
208000000X
Pediatrics Physician
57271
CT
2080P0208X
Pediatric Infectious Diseases Physician
Primary
2020038003
MO
2080P0208X
Pediatric Infectious Diseases Physician
57271
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059508264
DMV
CT
Enumeration date
09/27/2019
Last updated
03/25/2021
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