Individual
JAVONIA CHAUNTA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
215 TIMBER DR, PRINCETON, TX 75407-2833
(903) 556-5806
Mailing address
215 TIMBER DR, PRINCETON, TX 75407-2833
(903) 556-5806
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
120215
AR
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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