Individual
LOVELLA S HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ANP-BC
Contact information
Practice address
7901 FROST ST, ORTHO/NEURO SERVICE LINE, SAN DIEGO, CA 92123-2701
(858) 939-3948
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(619) 543-6164
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
645332
CA
Other
Enumeration date
10/23/2010
Last updated
11/08/2016
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