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Individual

MELISSA HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3719
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9294337
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11007464
FL

Other

Enumeration date
06/26/2019
Last updated
11/24/2021
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