Henry-Russell, Corretta N

Henry-Russell, Corretta N is an sole proprietor health care provider with primary practice located at 1672 Stargazer Ter , Sanford FL 32771-9286. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is her primary health care specialty. Henry-Russell, Corretta N can be contacted via phone (407) 860-8048.

Contact Information

Primary practice address
1672 Stargazer Ter Sanford FL 32771-9286
Phone: (407) 860-8048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1063067098
LBN Legal business name Henry-Russell, Corretta N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2019
Last updated Aug 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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