Individual
CONNOR BLAIRE HAISLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8083
(757) 683-4297
Mailing address
2510 NEW LONDON CT, VIRGINIA BEACH, VA 23454-3984
(804) 296-5151
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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