Individual
HALEY MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5900 BOND AVE, CENTREVILLE, IL 62207-2326
(618) 332-5481
Mailing address
5900 BOND AVE, CENTREVILLE, IL 62207-2326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.003580
IL
Other
Enumeration date
07/08/2010
Last updated
04/15/2021
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