Individual
NICOLE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2827
(202) 717-9342
Mailing address
814 THAYER AVE APT 306, SILVER SPRING, MD 20910-4558
(202) 907-2067
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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