Individual
MRS. CHRISTINE L HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN-SFA
Contact information
Practice address
14981 NATIONAL AVE, LOS GATOS, CA 95032-2600
(801) 380-5020
Mailing address
PO BOX 156, MONTICELLO, UT 84535
(801) 380-5020
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
263622-3101
UT
164X00000X
Licensed Vocational Nurse
VN205839
CA
Other
Enumeration date
02/26/2007
Last updated
08/18/2017
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