Individual
ANGELINA HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Mailing address
5826 DIXIE HWY, WATERFORD, MI 48329-1525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
04/26/2017
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