Individual
MARY KAY HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BCTN, FDN-P
Contact information
Practice address
224 PARK ISLAND DR, LAKE ORION, MI 48362-2762
(248) 722-2412
Mailing address
224 PARK ISLAND DR, LAKE ORION, MI 48362-2762
(248) 722-2412
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MI
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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