Nicole Alley Hastaba, PA-C

NPI #1043550775 in Palm Beach Gardens, Florida

Provider Information

NPI Number
1043550775
Entity Type
Individual
Name
Nicole Alley Hastaba, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Feb 16, 2013
Last Updated
Feb 26, 2015

Practice Location

Address
11030 RCA CENTER DR
Address 2
SUITE 3015
State
Florida
ZIP Code
33410-4276
Phone
(561) 776-7041

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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