Individual
MRS. MARY JANE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CDE
Contact information
Practice address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
Mailing address
1388 17TH AVE N, WAHPETON, ND 58075-3139
(701) 642-1820
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R31834
ND
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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