Individual
MS. CAROL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 FULTON MALL, FRESNO, CA 93721-1915
(559) 445-3449
Mailing address
1221 FULTON MALL, FRESNO, CA 93721-1915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
320778
CA
Other
Enumeration date
04/24/2007
Last updated
12/15/2009
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