Individual
CASSANDRA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4612 N 28TH ST, PHOENIX, AZ 85016-4999
(602) 764-7114
Mailing address
4612 N 28TH ST, PHOENIX, AZ 85016-4999
(602) 764-7114
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN158499
AZ
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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