Individual
TIARA HAYNESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2653 DOUGLASS RD SE APT 104, WASHINGTON, DC 20020-6524
(240) 550-5475
Mailing address
2653 DOUGLASS RD SE APT 104, WASHINGTON, DC 20020-6524
(240) 550-5475
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
02/01/2026
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