Individual
DR. GLORIA L HENAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
246 LIBERTY ST, HARRISBURG, PA 17101-1104
(717) 599-4392
Mailing address
246 LIBERTY ST, HARRISBURG, PA 17101-1104
(717) 599-4392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
187629
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-187629
PA MEDICAL LICENSE
PA
Enumeration date
07/31/2007
Last updated
07/31/2007
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