Individual
MR. CHARLIE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 MIRANDA AVE, PROSTHETICS /121, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 852-3267
Mailing address
3801 MIRANDA AVE, PROSTHETICS /121, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 852-3267
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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