Individual
JACQUELINE H HATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
43839 15TH ST W, LANCASTER, CA 93534-4756
(661) 945-5984
Mailing address
3525 PARKMEADOW CT, PALMDALE, CA 93551-5502
(661) 406-3567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23040
CA
Other
Enumeration date
06/27/2013
Last updated
09/27/2016
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