Individual
LESLIE ELLEN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 480-1890
Mailing address
3737 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 480-1890
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
04/29/2025
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