Individual
LEONA ELLEN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
5400 RALSTON ST, VENTURA, CA 93003-6002
(805) 644-7449
Mailing address
701 ISLAND VIEW CIR, PORT HUENEME, CA 93041-3447
(361) 658-1055
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
HAY1-0431-3269
CA
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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