Individual
MS. CALLIE LEE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2786 MAIN ST LOT 301, EAST TROY, WI 53120-1353
(262) 642-7667
Mailing address
2786 MAIN ST LOT 301, EAST TROY, WI 53120-1353
(262) 642-7667
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34586-031
WI
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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