Organization
CHRYSTAL HAYNES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRYSTAL LERIE ANNE HAYNES (OWNER)
(509) 684-1420
Entity
Organization
Contact information
Practice address
524 S MAIN ST, COLVILLE, WA 99114-2504
(509) 684-1420
Mailing address
524 S MAIN ST, COLVILLE, WA 99114-2504
(509) 684-1420
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134544620
—
WA
Enumeration date
10/17/2019
Last updated
10/17/2019
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