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Corretta Henry-Russell
NPI 1063067098 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1672 Stargazer Ter
Sanford, FL 32771 - Phone
- (407) 860-8048
Registry record
- Primary taxonomy
- 261Q00000X
261Q00000X
- Also registered as
- 261QD1600X
- Sex
- Female
- Record last updated
- 2019-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida