CORRETTA N HENRY-RUSSELL

SANFORD, FL
NPI1063067098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies261QD1600X Clinic/Center Developmental Disabilities
Enumeration Date2019-08-06
Last Update Date2019-08-06
Business Address
MRS. CORRETTA N HENRY-RUSSELL
1672 STARGAZER TER
SANFORD, FL 32771-9286
Phone number: 407-860-8048
Mailing Address
MRS. CORRETTA N HENRY-RUSSELL
1672 STARGAZER TER
SANFORD, FL 32771-9286
Phone number: 407-860-8048