Individual
MONICA SOOBY HAAS
Active
Individual
MONICA SOOBY HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000290
VA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4340
NSAA
—
Enumeration date
01/31/2018
Last updated
12/15/2021
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