Provider Demographics
NPI:1073782041
Name:HAYES, EMILIA MARIE
Entity Type:Individual
Prefix:MRS
First Name:EMILIA
Middle Name:MARIE
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:EMILIA
Other - Middle Name:MARIE
Other - Last Name:LEPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43520 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-4089
Mailing Address - Country:US
Mailing Address - Phone:661-274-0770
Mailing Address - Fax:661-274-9970
Practice Address - Street 1:43520 DIVISION ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-4089
Practice Address - Country:US
Practice Address - Phone:661-274-0770
Practice Address - Fax:661-274-9970
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator