Individual
HALEY EMMA VOLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
2104 MASSEY AVE, MAYPORT, FL 32228-2065
(413) 388-3743
Mailing address
USS ST LOUIS (LCS-19), #100524 BOX 001, FPO, AA 34089
(904) 314-4549
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
06/22/2023
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