Individual
SEQUOIA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 BEAVER DR STE 1, DU BOIS, PA 15801-2434
(814) 503-8070
Mailing address
90 SPUR 64 RD, CORSICA, PA 15829-1232
(814) 319-4615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP033316
PA
Other
Enumeration date
07/17/2025
Last updated
09/30/2025
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