Individual
DIANE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 MEMORIAL DR, PINEHURST, NC 28374-8712
(910) 295-6853
(910) 295-0132
Mailing address
205 MEMORIAL DR, PINEHURST, NC 28374-8712
(910) 295-6853
(910) 295-0132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250279
NC
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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