Individual
MR. JUSTIN ERIC HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
619 KAPAHULU AVE, PH, HONOLULU, HI 96815-3853
(808) 561-5424
Mailing address
2916 DATE ST, 20C, HONOLULU, HI 96816-1184
(808) 561-5424
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1338
HI
Other
Enumeration date
09/11/2009
Last updated
07/30/2014
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