Individual
CHARLOTTE G HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
122 FAULKNER ST, NEW SMYRNA BEACH, FL 32168-7018
(386) 423-7898
Mailing address
122 FAULKNER ST, NEW SMYRNA BEACH, FL 32168-7018
(386) 423-7898
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1667
LICENSE
FL
Enumeration date
12/07/2007
Last updated
12/07/2007
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