Individual
MR. CHARLES KEITH HAAGA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1104 CHARLIE DR, SLIDELL, LA 70461-5346
(985) 781-1635
Mailing address
1104 CHARLIE DR, SLIDELL, LA 70461-5346
(985) 781-1635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00124
LA
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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