Individual
MR. JUSTIN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN,BSN, RN
Contact information
Practice address
7125 BRANDY RUN DR APT 405, MECHANICSVILLE, VA 23111-3675
(248) 565-5266
Mailing address
7125 BRANDY RUN DR APT 405, MECHANICSVILLE, VA 23111-3675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00013606494
VA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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