Individual
QUADE HAYNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1717 S CHESTNUT AVE, FRESNO, CA 93702-4709
(435) 421-9132
Mailing address
4732 E ALAMOS AVE, UNIT #105, FRESNO, CA 93726-1463
(435) 421-9132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6888
TX
Other
Enumeration date
11/11/2016
Last updated
02/02/2017
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