Individual
DIANE M. HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7330 SAN PEDRO AVE STE 800, SAN ANTONIO, TX 78216-6268
(210) 733-0524
Mailing address
7937 PRONGHORN DR, SPRING BRANCH, TX 78070-4050
(210) 386-0848
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
136914
TX
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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