Individual
ANNETTA JEAN HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 FREMONT AVE, SOUTH LAKE TAHOE, CA 96150-8136
(530) 541-2445
Mailing address
1021 FREMONT AVE, SOUTH LAKE TAHOE, CA 96150-8136
(530) 541-2445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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