Individual
SHERE HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 ALABASTER CV, SANFORD, FL 32771-3607
(407) 462-1907
Mailing address
1809 E BROADWAY ST STE 147, OVIEDO, FL 32765-8597
(321) 710-7747
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
02/08/2020
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