Individual
DR. BETH E HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
164 MIRAMONTES AVE, HALF MOON BAY, CA 94019-1887
(650) 726-8626
(650) 726-8626
Mailing address
164 MIRAMONTES AVE, HALF MOON BAY, CA 94019-1887
(650) 726-8626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G64617
CA
Other
Enumeration date
02/21/2018
Last updated
06/16/2018
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