Individual
LEISHA JENKINS HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6722 VAN BUREN ST # CONDO3, DAPHNE, AL 36526-7584
(281) 299-5353
Mailing address
6722 VAN BUREN ST, DAPHNE, AL 36526-7584
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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