Nicole Marie Haywood, LMP

NPI #1396036216 in Chewelah, Washington

Provider Information

NPI Number: 1396036216
Entity Type: Individual
Name: Nicole Marie Haywood, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Apr 26, 2011
Last Updated: Apr 26, 2011

Practice Location

Address: 301 E CLAY AVE
Address 2: SUITE 220
City: Chewelah
State: Washington
ZIP Code: 99109-8936
Phone: (509) 935-7303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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