Individual
MS. SUSAN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9834 GENESEE AVE, SUITE NUMBER: 400, LA JOLLA, CA 92037-1223
(858) 455-5307
Mailing address
9834 GENESEE AVENUE, SUITE NUMBER: 400, LA JOLLA, CA 92037
(858) 455-5307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18151
CA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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