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Individual

KOLEA TWAYETTE HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 14335, IRVINE, CA 92623-4335
(941) 993-3569
(323) 693-7157
Mailing address
PO BOX 14335, IRVINE, CA 92623-4335
(941) 993-3569
(323) 693-7157

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95146429
CA

Other

Enumeration date
05/18/2023
Last updated
10/10/2024
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