Individual
LATRISA E HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
4407 W FIEBRANTZ AVE, MILWAUKEE, WI 53216-1507
(414) 840-8393
Mailing address
4407 W FIEBRANTZ AVE, MILWAUKEE, WI 53216-1507
(414) 840-8393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306436-31
WI
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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