Individual
ALEJANDRINA HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3916D FORSYTH CT, JOINT BASE MDL, NJ 08641-1668
(520) 232-4725
Mailing address
3916D FORSYTH CT, JOINT BASE MDL, NJ 08641-1668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00639500
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL013108
PA
Other
Enumeration date
12/03/2016
Last updated
12/03/2016
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