Individual
STEPHAINE E HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
8651 BRIER CREEK PKWY, RALEIGH, NC 27617-7325
(919) 765-0006
(919) 213-4673
Mailing address
5709 WINDLESTRAW DR APT 28, DURHAM, NC 27713-9044
(336) 269-3030
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
NC
183700000X
Pharmacy Technician
Primary
29644
NC
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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