Individual
MILDRED HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23501 CINEMA DR., 210, VALENCIA, CA 91355
(661) 288-4800
(661) 254-3094
Mailing address
23501 CINEMA DR, 210, VALENCIA, CA 91355-5428
(661) 288-4800
(661) 254-3094
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
19076
CA
Other
Enumeration date
10/04/2006
Last updated
05/10/2011
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