Individual
MS. MARY LOIS HAILSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
701 INDIAN RIVER RD, SITKA, AK 99835-7480
(907) 747-3636
(907) 747-5316
Mailing address
701 INDIAN RIVER RD, SITKA, AK 99835-7480
(907) 747-3636
(907) 747-5316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR R 12976
AK
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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