Individual
MICHALA Y HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 N EASTMAN RD APT D, LONGVIEW, TX 75601-3343
(903) 309-0222
Mailing address
1517 N EASTMAN RD APT D, LONGVIEW, TX 75601-3343
(903) 309-0222
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
Other
Enumeration date
09/09/2024
Last updated
11/17/2024
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