Individual
STEPHANIE HATASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
18890 EAST HAMDEN AVE, AURORA, CO 80013
(303) 617-1604
Mailing address
1375 QUEBEC ST, DENVER, CO 80220-3028
(508) 314-4916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005413
CO
Other
Enumeration date
10/30/2015
Last updated
10/02/2024
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