Individual
VICTORIA LOUISE HAYNESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18044 SANTA BARBARA DR, DETROIT, MI 48221-2531
(313) 675-5216
Mailing address
18044 SANTA BARBARA DR, DETROIT, MI 48221-2531
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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