NICOLE ALLEY HASTABA

PALM BEACH GARDENS, FL
NPI1043550775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9107111)
Enumeration Date2013-02-16
Last Update Date2015-02-26
Business Address
-- NICOLE ALLEY HASTABA PA-C
11030 RCA CENTER DR SUITE 3015
PALM BEACH GARDENS, FL 33410-4276
Phone number: 561-776-7041
Mailing Address
-- NICOLE ALLEY HASTABA PA-C
5380 N OCEAN DR EASTPOINTE 1- 11G
RIVIERA BEACH, FL 33404-2515
Phone number: 812-202-0124