Individual
MRS. LAURA COPELAND HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
794 GRAVOIS BLUFFS BLVD STE C, FENTON, MO 63026-7721
(314) 835-7935
Mailing address
794 GRAVOIS BLUFFS BLVD STE C, FENTON, MO 63026-7721
(314) 479-1504
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
116610
MO
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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