CHARLES VITAL HAYNES

MILWAUKEE, WI
NPI1750132361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-01
Last Update Date2024-04-01
Business Address
CHARLES VITAL HAYNES
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-0518
Mailing Address
CHARLES VITAL HAYNES
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: