Individual
MAJESTY HENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 PROSPECT ST, F3, ELYRIA, OH 44035-7113
(440) 453-3156
Mailing address
1580 PROSPECT ST, F3, ELYRIA, OH 44035-7113
(440) 453-3156
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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