Individual
SHIWAN DANAE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 N DAVIDSON ST STE 110D, CHARLOTTE, NC 28205-1882
(704) 412-1602
Mailing address
2424 N DAVIDSON ST STE 110, CHARLOTTE, NC 28205-1882
(704) 412-1602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
08/31/2020
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