Doctor Name: | PAULA HENRY |
NPI Number: | 1730105636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 100458 |
Business Practice Address: | 5034 Coakley Circle Mariposa, CA - 95338 |
Business Phone Number: | 2097426224 |
Business Fax Number: | 2099667848 |
Mailing Address: | Po Box 1913, MARIPOSA |
State: | CA |
Postal Code: | 953381913 |
Phone Number: | 2097426162 |
Fax Number: | 2097426163 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 100458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |