Individual
HALEY DEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 TIMBER POND DR, PONTE VEDRA, FL 32082-4354
(904) 226-6024
Mailing address
638 TIMBER POND DR, PONTE VEDRA, FL 32082-4354
(904) 226-6024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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