Individual
LATOYA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Mailing address
7810 IVYDALE DR APT A, INDIANAPOLIS, IN 46250-2166
(317) 793-8018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27070854A
IN
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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