LARRY HENDERSON

Early Intervention Provider Agency

Active Individual
NPI: 1710399084

Practice Address

5100 OBANNON DR APT 78
Las Vegas, NV 89146

Phone: (702) 272-3858

Specialties

Specialty Code Primary License
Early Intervention Provider Agency 252Y00000X Yes -

Frequently Asked Questions

NPI 1710399084 is the National Provider Identifier for LARRY HENDERSON, a Early Intervention Provider Agency provider located in Las Vegas, NV. This NPI was enumerated on May 21, 2014.
LARRY HENDERSON practices at 5100 OBANNON DR APT 78, Las Vegas, NV 89146.

Quick Facts

NPI
1710399084
Type
Individual
Enumerated
May 21, 2014
Last Updated
May 21, 2014

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