Individual
DE'DRE'ONA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 241-2294
Mailing address
21 KENYON PL, EAST HARTFORD, CT 06108-2385
(860) 833-1241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166153
CT
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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