MARY ELAINE HENRICKSEN

PHOENIX, AZ
NPI1134297021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WX0003X Registered Nurse, Obstetric, Inpatient
(Licence: AZ  RN067511)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
Miss MARY ELAINE HENRICKSEN RN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
Miss MARY ELAINE HENRICKSEN RN
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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