Individual
ERICA DEON HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
411 LEVON CT, LOGANVILLE, GA 30052-3791
(267) 760-3681
Mailing address
411 LEVON CT, LOGANVILLE, GA 30052-3791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN292512
GA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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