Individual
TONYA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 JOYCE LN, WINCHESTER, TN 37398-3326
(931) 967-3826
Mailing address
338 JOYCE LN, WINCHESTER, TN 37398-3326
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
71586
TN
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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