Individual
MISS LYNETTE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 CENTER AVE, MARTINEZ, CA 94553-4640
(925) 313-6740
Mailing address
597 CENTER AVE, MARTINEZ, CA 94553-4640
(925) 313-6740
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
585140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
585140
RN LISCENCE
CA
Enumeration date
05/31/2016
Last updated
05/31/2016
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