Tara Haynes

NPI #1346920550 in Louisville, Mississippi

Provider Information

NPI Number: 1346920550
Entity Type: Individual
Name: Tara Haynes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 21, 2023
Last Updated: Jul 21, 2023

Practice Location

Address: 501 HARPER RD
City: Louisville
State: Mississippi
ZIP Code: 39339-7773
Phone: (662) 831-0057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Organizations

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