Individual
MEGAN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1577 CONGRESS ST, PORTLAND, ME 04102-2169
(207) 662-1422
Mailing address
1577 CONGRESS ST, PORTLAND, ME 04102-2169
(207) 662-1422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1363
ME
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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