Individual
THOMAS HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 GILMER AVE 24017, ROANOKE, VA 24017
(540) 728-1435
Mailing address
1315 GILMER AVE 24017, ROANOKE, VA 24017
(540) 728-1435
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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