Provider Demographics
NPI:1982352852
Name:RAPPOPORT, HAYLEY ILENE (PA)
Entity Type:Individual
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First Name:HAYLEY
Middle Name:ILENE
Last Name:RAPPOPORT
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Gender:F
Credentials:PA
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Mailing Address - Street 1:782 BRAYDON PL UNIT 203
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1620 PENNSYLVANIA AVE STE B
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-3509
Practice Address - Country:US
Practice Address - Phone:925-685-4224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2023-09-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant