Individual
LACHON HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
4688 NW 1ST ST, PLANTATION, FL 33317-3134
(954) 643-7027
Mailing address
4688 NW 1ST ST, PLANTATION, FL 33317-3134
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/13/2019
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