Julyssa Pizarro Henry, C53395
Mastectomy Fitter in Winston Salem, NC. Individual provider (NPI-1).
NPI number1063127272
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1063127272
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Julyssa Pizarro Henry
- Credential
- C53395
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2023
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224900000X | Mastectomy Fitter | C53395 | MD | Yes |
Practice location
2200 Silas Creek Pkwy Ste 1aWinston Salem, NC 27103-5000
Phone 336-760-4333
Mailing address
2850 Aztec CtWinston Salem, NC 27103-5412
Phone 939-732-1202
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