Individual
JON HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
135 PARK ST, MILO, ME 04463-1729
(207) 943-7752
Mailing address
135 PARK ST, MILO, ME 04463-1729
(207) 943-7752
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN64711
ME
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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