DEMETRIUS ANTWAN HAYNES

LAKELAND, FL
NPI1619844800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2025-10-21
Last Update Date2025-10-21
Business Address
DEMETRIUS ANTWAN HAYNES
203 TARAWA ST
LAKELAND, FL 33805-2950
Phone number: 646-717-7222
Mailing Address
DEMETRIUS ANTWAN HAYNES
203 TARAWA ST
LAKELAND, FL 33805-2950
Phone number: 646-717-7222
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