Most Relevant Information
Provider Data
| NPI Number: | 1003502832 |
| Provider Name: | HALEY KI'LES VANN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/14/2023 |
| Last Updated: | 04/14/2023 |
Provider Practice Location
5105 MALVASIA CT
SUMMERVILLE
SC
294858954
Practice Location Phone/Fax
| Phone: | 8437548548 |
| Fax: |
Provider Mailing Location
5105 MALVASIA CT
SUMMERVILLE
SC
294858954
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |