Individual
SHARELLE MONTRICE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5712 S CLAIBORNE AVE, NEW ORLEANS, LA 70125-4999
(504) 324-7517
Mailing address
5712 S CLAIBORNE AVE, NEW ORLEANS, LA 70125-4999
(504) 324-7517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20140377
LA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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