AMANDA VICE HAYNIE

SHREVEPORT, LA
NPI1619311438
Former NameAMANDA LEISH VICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: LA  301709)
Additional Taxonomies208000000X Pediatrics
(Licence: OK  29920)
Enumeration Date2013-04-23
Last Update Date2016-05-18
Business Address
Mrs. AMANDA VICE HAYNIE M.D.
2225 LINE AVENUE MID CITY PEDIATRICS
SHREVEPORT, LA 71104
Phone number: 318-221-2225
Mailing Address
Mrs. AMANDA VICE HAYNIE M.D.
2225 LINE AVENUE MID CITY PEDIATRICS
SHREVEPORT, LA 71104
Phone number: 318-221-2225