Individual
MICHELE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1537 OHIO ST, WATERTOWN, NY 13601-3030
(315) 785-3700
Mailing address
1351 WASHINGTON ST, WATERTOWN, NY 13601-4531
(315) 785-3700
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
300312-1
NY
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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