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Dr. Jason M. Hataye, MD
Student in an Organized Health Care Education/Training Program in Hercules, California
NPI 1962654517

Jason M. Hataye is a Student in an Organized Health Care Education/Training Program based in Hercules, CA. Jason M. Hataye practices in Hercules, CA and has the professional credentials of MD. The NPI Number for Jason M. Hataye is 1962654517 and holds a License No. (California).

The current practice location address for Jason M. Hataye is 572 Turquoise Drive, Hercules, CA and can be reached out via phone at 612-701-5737.

Location: 572 Turquoise Drive, Hercules, CA, 94547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962654517
Provider Name
Jason M. Hataye
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
572 Turquoise Drive, Hercules, CA, 94547
Phone Number
612-701-5737
Fax Number
Provider Enumeration Date
10/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
572 Turquoise Drive
City
Hercules
State
California
Zip
94547
Phone Number
612-701-5737
Fax Number
person
Provider Business Mailing Address Details
Address
572 Turquoise Drive
City
Hercules
State
California
Zip
94547
Phone Number
612-701-5737
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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