Individual
MOLLY DEE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5800
(314) 747-5866
Mailing address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5800
(314) 747-5866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015024787
MO
Other
Enumeration date
09/18/2014
Last updated
12/21/2015
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