Individual
DEMETRIA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 CLARK STREET, MARLIN, TX 76661
(254) 804-9443
Mailing address
804 CLARK STREET, MARLIN, TX 76661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
831511
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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