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NPI Code Detail

MEDICARE: MISS HALEY ANN SAGE BS

MEDICARE:  MISS HALEY ANN SAGE  BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerCA
2373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1306777388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HALEY ANN SAGE BS
Provider Business Mailing Address
First Line : 2731 NUGGET AVE
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-9456
Country : US
Telephone Number : 760-379-3412
Fax Number :
Provider Business Practice Location Address
First Line : 2731 NUGGET AVE
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-9456
Country : US
Telephone Number : 760-379-3412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 06/05/2026

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Directions to “ MISS HALEY ANN SAGE BS” Practice Location

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