BENNY RAY HAGA

WYTHEVILLE, VA
NPI1972677474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: VA  0001056493)
Enumeration Date2006-11-17
Last Update Date2010-08-13
Business Address
Mr. BENNY RAY HAGA NP
1995 WEST RIDGE ROAD
WYTHEVILLE, VA 24382
Phone number: 276-223-1983
Mailing Address
Mr. BENNY RAY HAGA NP
1995 WEST RIDGE ROAD
WYTHEVILLE, VA 24382
Phone number: 276-223-1983
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