Individual
MS. KATHEEN R. HAYNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMY
Contact information
Practice address
315 E COTATI AVE, COTATI, CA 94931-4475
(707) 665-9391
Mailing address
10310 MINNESOTA AVE, PENNGROVE, CA 94951-9687
(707) 665-9391
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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