Individual
MADELINE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 W 49TH ST STE 210, HIALEAH, FL 33012-3657
(855) 832-6727
Mailing address
7504 CUTLASS AVE, NORTH BAY VILLAGE, FL 33141-4114
(786) 308-7955
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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