TANISHA M HENRY

JACKSONVILLE, FL
NPI1003879735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9103457)
Enumeration Date2006-04-12
Last Update Date2011-08-04
Business Address
Ms. TANISHA M HENRY PA
4500 SAN PABLO RD S VINCENT STABILE BLDG 550N
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Mailing Address
Ms. TANISHA M HENRY PA
4500 SAN PABLO RD S VINCENT STABILE BLDG 550N
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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