Individual
JERRI DELANE HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
359 SE MOJAVE WAY, LAKE CITY, FL 32025-3972
(386) 292-3207
Mailing address
359 SE MOJAVE WAY, LAKE CITY, FL 32025-3972
(386) 292-3207
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT11455
FL
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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