Individual
CLARA MICHELE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMT
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 774-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
8861021
OH
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
8862875
OH
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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