Individual
DR. JONATHAN D HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1610 PENNY LN, WALLA WALLA, WA 99362
(509) 540-3937
(509) 540-3938
Mailing address
PO BOX O, WALLA WALLA, WA 99362-0212
(509) 540-3937
(509) 540-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
39083
WA
152W00000X
Optometrist
Primary
OD60843163
WA
152W00000X
Optometrist
OPT.0003066
CO
Other
Enumeration date
03/11/2014
Last updated
01/24/2019
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