Individual
DR. JOAN LORRAINE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
4219 W EMERALD ST, BOISE, ID 83706-2036
(208) 338-0405
(208) 422-9957
Mailing address
4219 W EMERALD ST, BOISE, ID 83706-2036
(208) 338-0405
(208) 422-9957
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NAT-2
ID
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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