Individual
LEAH AUTUMN HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 726-2840
Mailing address
8055 PENN AVE S APT 214, MINNEAPOLIS, MN 55431-1373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
204846-6
MN
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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