Individual
MRS. DEATOSHA DENISE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Mailing address
7722 PEMBROKE CIR, MOBILE, AL 36695-4476
(251) 635-1766
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
AL 1-094279
AL
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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