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Individual

ANNE F.S HAKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2203 W 20TH ST, LOS ANGELES, CA 90018-1409
(323) 730-1003
Mailing address
2203 W 20TH ST, LOS ANGELES, CA 90018-1409
(323) 730-1003

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN388384
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP10226
CA
05
RN388384
CA
Enumeration date
10/02/2006
Last updated
03/08/2013
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