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Individual

MS. TERESA KIM HENWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
112 OVERLOOK DR, BALDWINSVILLE, NY 13027-9111
(315) 635-0923
Mailing address
112 OVERLOOK DR, BALDWINSVILLE, NY 13027-9111
(315) 635-0923

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
424762-1
NY

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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