Individual
MRS. HENRIETTA MCCOLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
IHCP-1809
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IHCP-1809
—
SC
Enumeration date
12/19/2022
Last updated
12/19/2022
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