Individual
JUANITA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7049 N TEUTONIA AVE APT 3, MILWAUKEE, WI 53209-2370
(414) 469-5806
Mailing address
PO BOX 80231, MILWAUKEE, WI 53208-8003
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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