Provider Demographics
NPI:1538326988
Name:HATA, ABIGAIL (MS, CGC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:HATA
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 BURBERRY CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-3297
Mailing Address - Country:US
Mailing Address - Phone:916-479-5836
Mailing Address - Fax:
Practice Address - Street 1:5213 BURBERRY CT
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-3297
Practice Address - Country:US
Practice Address - Phone:916-479-5836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS