Individual provider · NPI-1
Lovetta Quinn Henry, BA
Technician, Other · Ocoee, FL
NPI number1407307358
StatusActive
Last updated in NPPESOct 16, 2016
Details
- NPI
- 1407307358
- Entity type
- Individual (NPI-1)
- Name
- Lovetta Quinn Henry
- Credential
- BA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2016
- Last updated
- Oct 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
3482 Starbird DrOcoee, FL 34761-4437
Phone 321-662-5065
Mailing address
3482 Starbird DrOcoee, FL 34761-4437
Phone 321-662-5065
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