Individual
HALEY PAIGE AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 BONFONTE BLVD, GREENHORN #236, PUEBLO, CO 81001-8100
(209) 201-3736
Mailing address
415 BRIAN CT, MERCED, CA 95348-3201
(209) 201-3736
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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