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Individual

ANGELA HAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-7065
Mailing address
3109 TECUMSEH CT, WOODBRIDGE, VA 22192-1823

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001215896
VA
364S00000X
Clinical Nurse Specialist
Primary
0024186265
VA

Other

Enumeration date
02/07/2024
Last updated
02/07/2024
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