Individual
ANISSA NICHELLE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTARTOR
Contact information
Practice address
801 HIGHWAY 59 LOOP N, LIVINGSTON, TX 77351-5704
(936) 252-2074
Mailing address
801 HIGHWAY 59 LOOP N, LIVINGSTON, TX 77351-5704
(936) 252-2074
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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