Individual
REBECCA JANE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6797
(814) 231-7153
(814) 231-7894
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6797
(814) 231-7153
(814) 231-7894
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055042
PA
363AM0700X
Medical Physician Assistant
Primary
OA002767
PA
Other
Enumeration date
09/30/2011
Last updated
07/25/2023
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