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Individual

MRS. YOLANDRA J HENSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CST/CSFA

Contact information

Practice address
51 CAMINO DE LOS ARBOLES, CORRALES, NM 87048-9063
(505) 792-8596
Mailing address
PO BOX 2394, CORRALES, NM 87048-2394
(505) 792-8596

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
97468
NM
246ZS0410X
Surgical Technologist
Primary
246ZX2200X
Orthopedic Assistant
97468
NM

Other

Enumeration date
08/15/2006
Last updated
08/04/2015
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