Individual
AMANDA ERIN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 N ACADEMY AVE, 19-30, DANVILLE, PA 17822-9800
(570) 214-1982
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8605
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20A800
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS014610
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
OT011209
PA
Other
Enumeration date
04/20/2007
Last updated
03/30/2023
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