Individual
MR. EARL HENRY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5120 HICKAM AVE, LAS VEGAS, NV 89130-2607
(702) 592-7175
Mailing address
5120 HICKAM AVE, LAS VEGAS, NV 89130-2607
(702) 592-7175
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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