Individual
CANDANCE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9861 MEMPHIS AVE APT 6, BROOKLYN, OH 44144-2087
(561) 862-2821
Mailing address
9861 MEMPHIS AVE APT 6, BROOKLYN, OH 44144-2087
(561) 862-2821
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.181343.MEDS-IV
OH
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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