Individual
ALEXAUNDRIA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3922 SIMPSON ST, DALLAS, TX 75246-1709
(214) 231-0864
Mailing address
4721 SAMUELL BLVD APT 307, MESQUITE, TX 75149-1070
(214) 399-0767
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1069568
TX
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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