Individual
TARA HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 TOMS RUN RD, HOLBROOK, WV 15311
(724) 451-8360
Mailing address
1345 TOMS RUN RD, HOLBROOK, WV 15311
(724) 451-8360
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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