Individual
CHAVELLE C HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5127 VILLAGE CRST, SAN ANTONIO, TX 78218-3812
(210) 849-4687
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/22/2020
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