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Individual

EMMA HACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3798 JANES RD STE 5, ARCATA, CA 95521-4745
(707) 825-7588
(707) 825-8203
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A143573
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942542816
CA
Enumeration date
03/19/2013
Last updated
03/06/2020
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