Individual
CAROL HAKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
25156 POTOMAC DR, SOUTH LYON, MI 48178-1022
(248) 782-7360
Mailing address
25156 POTOMAC DR, SOUTH LYON, MI 48178-1022
(248) 782-7360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704139552
MI
Other
Enumeration date
11/06/2010
Last updated
11/06/2010
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