Individual
PAMELA DENISE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 MARYLAND ST, HAMMOND, LA 70403-3948
(985) 320-2082
Mailing address
116 MARYLAND ST, HAMMOND, LA 70403-3948
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
L22400628
LA
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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