Individual
MR. CALEB JAMES HAYNIE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3423 GUADALCANAL RD BLDG 401 2ND DECK, SEAL TEAM SEVENTEEN, CORONADO, CA 92155-5599
(619) 537-1334
(619) 437-2068
Mailing address
3423 GUADALCANAL RD BLDG 401 2ND DECK, SEAL TEAM SEVENTEEN, CORONADO, CA 92155-5599
(619) 537-1334
(619) 437-2068
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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