Individual
MRS. JULYSSA PIZARRO HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C53395
Contact information
Practice address
2200 SILAS CREEK PKWY STE 1A, WINSTON SALEM, NC 27103-5000
(336) 760-4333
Mailing address
2850 AZTEC CT, WINSTON SALEM, NC 27103-5412
(939) 732-1202
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C53395
MD
Other
Enumeration date
01/23/2023
Last updated
03/16/2023
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