Individual
KERI HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 284-8592
Mailing address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704394602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704394602
RN
MI
Enumeration date
04/24/2024
Last updated
04/24/2024
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