Individual
KRISTINA M HAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004982RX
OH
Other
Enumeration date
02/09/2017
Last updated
02/10/2017
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