Individual
TERRY HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
455 SEGO LILY ST, BOSQUE FARMS, NM 87068-9556
(505) 884-1214
(505) 884-8046
Mailing address
455 SEGO LILY ST, BOSQUE FARMS, NM 87068-9556
(505) 884-1214
(505) 884-8046
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
163WR0006X
NM
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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