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NPI Code Detail

MEDICARE: SARINE MARY HAJJAR

MEDICARE:   SARINE MARY HAJJAR
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
1106S00000XBehavior TechnicianRBT-20-122753CA

General Provider Information

NPI Number : 1790517985
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARINE MARY HAJJAR
Provider Business Mailing Address
First Line : 19146 MERION DR
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-1835
Country : US
Telephone Number : 818-624-7737
Fax Number :
Provider Business Practice Location Address
First Line : 19146 MERION DR
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-1835
Country : US
Telephone Number : 818-624-7737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2024
Last Update Date : 08/15/2024

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Directions to “ SARINE MARY HAJJAR ” Practice Location

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