Most Relevant Information
Provider Data
| NPI Number: | 1003641416 |
| Provider Name: | HALEY SKIFF IRELAND |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2024 |
| Last Updated: | 09/05/2024 |
Provider Practice Location
2208 SAN LEANDRO BLVD # 94577
SAN LEANDRO
CA
945775957
Practice Location Phone/Fax
| Phone: | 5105680306 |
| Fax: |
Provider Mailing Location
2208 SAN LEANDRO BLVD
SAN LEANDRO
CA
945775957
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |