Individual
MISS HALEY ANNE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 SUNCAST LN STE 5, EL DORADO HILLS, CA 95762-9664
(916) 939-3889
Mailing address
1200 SUNCAST LN STE 5, EL DORADO HILLS, CA 95762-9664
(916) 939-3889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52951
CA
Other
Enumeration date
12/18/2015
Last updated
03/14/2020
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