Individual
VIRGINIA ISABELLE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2936 AUSTIN RD, CLINTON, NY 13323-4502
(315) 525-1397
Mailing address
2936 AUSTIN RD, CLINTON, NY 13323-4502
(315) 525-1397
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
002089
NY
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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