Individual
HALEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(317) 644-9054
Mailing address
120 35TH ST, HERMOSA BEACH, CA 90254-2020
(317) 744-9054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
763915
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000415
CA
Other
Enumeration date
05/04/2015
Last updated
11/29/2021
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