Provider Demographics
NPI:1093334690
Name:CONTRERAS, HAGLAEEH TREJO (DO)
Entity Type:Individual
Prefix:MS
First Name:HAGLAEEH
Middle Name:TREJO
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17894 HIGHWAY 140
Mailing Address - Street 2:
Mailing Address - City:ELROD
Mailing Address - State:AL
Mailing Address - Zip Code:35458-2618
Mailing Address - Country:US
Mailing Address - Phone:205-454-7331
Mailing Address - Fax:
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-6562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program