Individual
ZACHARY HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3913 INGRAHAM ST APT U209, SAN DIEGO, CA 92109-5921
(508) 409-9408
Mailing address
3913 INGRAHAM ST APT U209, SAN DIEGO, CA 92109-5921
(508) 409-9408
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2021
Last updated
04/04/2022
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