Individual
MRS. HAYLEY MICHELLE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
49TH MEDICAL GROUP/SGPF, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-2446
(575) 572-2259
Mailing address
49TH MEDICAL GROUP/SGPF, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-2446
(575) 572-2259
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
1710I1003X
Independent Duty Medical Technicians
—
—
Other
Enumeration date
05/08/2009
Last updated
04/30/2018
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