Individual
CONNER HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Mailing address
2822 E HARD ROCK DR, BOISE, ID 83712-8918
(970) 631-4796
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
262090
NC
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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