Individual
DR. MARA ALENA HASELTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1430 TULANE AVE, TB 36, NEW ORLEANS, LA 70112-2632
(504) 701-4814
(504) 988-7382
Mailing address
1430 TULANE AVE, TB 36, NEW ORLEANS, LA 70112-2632
(504) 701-4814
(504) 988-7382
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
026481
LA
Other
Enumeration date
02/12/2008
Last updated
08/19/2008
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