Individual
DAVID HAYNESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11648 WHITTIER ST, DETROIT, MI 48224-1540
(586) 907-5828
Mailing address
18044 SANTA BARBARA DR, DETROIT, MI 48221-2531
(586) 907-5828
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2024
MI
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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