Individual
MR. HENON LEE MCDONALD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3316 DEVONSHIRE CV N, SOUTHAVEN, MS 38672-8580
(901) 292-3047
Mailing address
3316 DEVONSHIRE CV N, SOUTHAVEN, MS 38672-8580
(901) 292-3047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
911457
MS
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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