Individual
JAMIE L. HAEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
33 WREN AVE, LANCASTER, NY 14086-1717
(716) 901-5651
Mailing address
33 WREN AVE, LANCASTER, NY 14086-1717
(716) 901-5651
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0113581
NY
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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