Individual
PAULA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4739 RIDGELINE TER, BOWIE, MD 20720-3704
(202) 270-4702
Mailing address
4739 RIDGELINE TER, BOWIE, MD 20720-3704
(202) 270-4702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1004846
DC
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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