Demeterus Haynes | Las Vegas, NV • PECOS Search

Demeterus Haynes

Technician

Nursing Service Related Providers

2770 S Maryland Pkwy, Las Vegas, NV 89109-1554

PECOS Enrollment

Based on the most recent information from CMS, provider Demeterus Haynes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1093366320
Provider Type
Individual
Full Name
Haynes, Demeterus
Gender
Male

Sole Proprietor
No
Enumeration Date
9/27/2019
Last Updated
9/27/2019

Contact Information

Practice Location

2770 S Maryland Pkwy, Las Vegas, NV 89109-1554

Unlisted Fax

Mailing Location

2770 S Maryland Pkwy, Las Vegas, NV 89109-1554

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 3747P1801X Primary	Description Technician Nursing Service Related Providers	License Unlisted Issuer