Individual
MARY LYNNE HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
945 PINE AVE, APT. F, CARLSBAD, CA 92008-2456
(760) 670-8330
Mailing address
945 PINE AVE, APT. F, CARLSBAD, CA 92008-2456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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