Individual
JESSICA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 LEVELS RD, MIDDLETOWN, DE 19709-7700
(302) 376-5125
Mailing address
1156 LEVELS RD, MIDDLETOWN, DE 19709-7700
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0033623
DE
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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