Individual
ANNA MICHELE HAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MARKET ST STE 226, SAN FRANCISCO, CA 94102-5403
(415) 621-5471
Mailing address
445 COUNTY ROAD 2425 N, MAHOMET, IL 61853-9704
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
015795
IL
124Q00000X
Dental Hygienist
Primary
33423
CA
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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