Individual
HALEY LOREN CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6133 SHERWOOD WAY APT 6101, SAN ANGELO, TX 76901-5640
(817) 983-1385
Mailing address
6133 SHERWOOD WAY APT 6101, SAN ANGELO, TX 76901-5640
(817) 983-1385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
961243
TX
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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