Individual
MAXINE ADELPHIA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 NE 24TH DR, HOMESTEAD, FL 33033-5160
(786) 614-4112
Mailing address
4121 NE 24TH DR, HOMESTEAD, FL 33033-5160
(786) 614-4112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5218475
FL
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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