Individual
MRS. JEANETTE LUCILLE HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 E FLAMINGO RD, STE. #E-120, LAS VEGAS, NV 89119-7427
(702) 733-8098
Mailing address
1050 E FLAMINGO RD, STE. #E-120, LAS VEGAS, NV 89119-7427
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/15/2012
Last updated
10/30/2024
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