Individual
SHAYNE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3915 TALBOT RD S, RENTON, WA 98055-5738
(425) 656-4224
(425) 656-5099
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ML60488538
WA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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