Individual
LYNETTE HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5422 SHARSWOOD ST, PHILADELPHIA, PA 19131-3929
(267) 439-4656
(215) 477-2476
Mailing address
5422 SHARSWOOD ST, PHILADELPHIA, PA 19131-3929
(267) 439-4656
(215) 477-2476
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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