Search › New Jersey › 174H00000X
Althea Haynes
NPI 1639870868 · on the registry since 2023 · sole proprietor
Practice
- Address
- 516 Main St
East Orange, NJ 07018 - Phone
- (973) 704-0196
- Organisation at this address
- Vintage Vitality Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Also registered as
- 171400000X
175F00000X
175L00000X - Sex
- Female
- Record last updated
- 2025-09-18
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 New Jersey