Provider Demographics
NPI:1326889718
Name:JABBOUR, HANNA MARIA (PHD, NMD)
Entity type:Individual
Prefix:DR
First Name:HANNA
Middle Name:MARIA
Last Name:JABBOUR
Suffix:
Gender:F
Credentials:PHD, NMD
Other - Prefix:DR
Other - First Name:HANNA
Other - Middle Name:MARIA
Other - Last Name:HAVERINEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, NMD
Mailing Address - Street 1:1460 N BALBOA
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-6876
Mailing Address - Country:US
Mailing Address - Phone:480-930-7447
Mailing Address - Fax:
Practice Address - Street 1:1460 N BALBOA
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-6876
Practice Address - Country:US
Practice Address - Phone:480-930-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-01
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24-1862175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath