Individual
JENAE NIKKOLE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SUNRISE AVE STE 120, ROSEVILLE, CA 95661-4549
(408) 437-8864
Mailing address
4321 PALM AVE APT 98, SACRAMENTO, CA 95842-3384
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3320
CA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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