MRS. CORRETTA HENRY-RUSSELL
Clinic/Center
Active
Individual
NPI: 1063067098
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Developmental Disabilities | 261QD1600X | No | - |
| Clinic/Center | 261Q00000X | Yes | - |
Frequently Asked Questions
NPI 1063067098 is the National Provider Identifier for MRS. CORRETTA HENRY-RUSSELL, a Clinic/Center provider located in Sanford, FL. This NPI was enumerated on August 6, 2019.
MRS. CORRETTA HENRY-RUSSELL practices at 1672 STARGAZER TER, Sanford, FL 32771.
Quick Facts
- NPI
- 1063067098
- Type
- Individual
- Enumerated
- Aug 6, 2019
- Last Updated
- Aug 6, 2019
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