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Individual

DR. EMMELINE HAZARAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 335-1932
(408) 335-1928
Mailing address
5858 PILAR CT, SAN JOSE, CA 95120-1721
(408) 997-2878

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A91116
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41497
COUNTY
CA
Enumeration date
11/28/2006
Last updated
07/08/2007
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