SearchIllinois376K00000X

Annie Haynes

NPI 1518722982 · on the registry since 2024 · sole proprietor

Practice

Address
2610 Saint Louis Ave
East Saint Louis, IL 62205
Phone
(314) 495-1611

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois