Individual
MRS. ANGELA RENAE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
875 UNION AVE DUNN DENTAL BLDG C 517, MEMPHIS, TN 38163
(901) 448-1848
Mailing address
775 FAIRWAY DRIVE, COVINGTON, TN 38019
(901) 326-4600
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3447
TN
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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