Individual
ANTONIO HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11105 JEFFERSON, DETROIT, MI, DETROIT, MI 48214
(313) 396-5300
Mailing address
11105 JEFFERSON, DETROIT, MI, DETROIT, MI 48214
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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