Individual
CYNTHIA SUE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-C
Contact information
Practice address
1444 COFFEE RD, MODESTO, CA 95355-3105
(209) 572-1207
Mailing address
1444 COFFEE RD, MODESTO, CA 95355-4121
(209) 572-1207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
330486
CA
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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