Lisa Marie Haynes
Technician, Personal Care Attendant in Charleston, WV. Individual provider (NPI-1).
NPI number1346851383
StatusActive
Last updated in NPPESMay 10, 2022
Details
- NPI
- 1346851383
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Haynes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2020
- Certification date
- May 10, 2022
- Last updated
- May 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
214 Casdorph RdCharleston, WV 25312-6498
Phone 304-747-8592
Mailing address
214 Casdorph RdCharleston, WV 25312-6498
Phone 304-747-8592
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All 2,938 Personal Care Attendant providers in Charleston · All 9,831 providers in Charleston
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