Doctor Name: | MRS. MINDY M HAYES |
NPI Number: | 1366571051 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00013183 |
Business Practice Address: | 5600 Pacific Ave Se Lacey, WA - 985031258 |
Business Phone Number: | 3604932000 |
Business Fax Number: | |
Mailing Address: | 18940 Melon St Sw, ROCHESTER |
State: | WA |
Postal Code: | 985799117 |
Phone Number: | 3602738319 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00013183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |