Individual
MISS HAILEY MARIE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 623-6116
Mailing address
340 JOHN HENRY DR, HENDERSON, NV 89014-6069
(702) 461-8213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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