Individual
MRS. MINDY M HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5600 PACIFIC AVE SE, LACEY, WA 98503-1258
(360) 493-2000
Mailing address
18940 MELON ST SW, ROCHESTER, WA 98579-9117
(360) 273-8319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013183
WA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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