Individual
JENNIFER HAYWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
113 E UNAKA AVE, JOHNSON CITY, TN 37601-4085
(423) 928-9394
Mailing address
208 E 9TH AVE, JOHNSON CITY, TN 37601-3910
(423) 557-7278
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU0000000152
TN
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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