MR. David Keiki Mai Lani Louis Haley SR., IDC
NPI #1912966474 in Seal Beach, California
Provider Information
- NPI Number
- 1912966474
- Entity Type
- Individual
- Name
- MR. David Keiki Mai Lani Louis Haley SR., IDC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Mar 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 800 SEAL BEACH BLVD
- Address 2
- BLDG 77
- City
- Seal Beach
- State
- California
- ZIP Code
- 90740-5607
- Phone
- (562) 626-6296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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