Individual
EARLINE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 NW LONG ST, LAKE CITY, FL 32055-1981
(386) 406-0439
Mailing address
452 NW LONG ST, LAKE CITY, FL 32055-1981
(386) 406-0439
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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