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Individual

ALICIA HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
897 IRONWOOD DR STE 202, MINDEN, NV 89423-5199
(775) 364-1411
(775) 364-1412
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
855609
NV
363L00000X
Nurse Practitioner
95036312
CA

Other

Enumeration date
07/28/2022
Last updated
06/24/2026
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