Individual
COREY EMANUEL HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 RACE ST APT 161, FORT WORTH, TX 76111-4171
(214) 205-8178
Mailing address
2900 RACE ST APT 161, FORT WORTH, TX 76111-4171
(214) 205-8178
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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