Individual
LETITIA M. HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
#22 CIELO VISTA RD., INDIVIDUAL CLIENT HOMES;, VADITO, NM 87579
(575) 587-1756
Mailing address
#22 CIELO VISTA RD, VADITO, NM 87579
(575) 587-1756
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
#5422
NM
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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