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Individual

MICHAEL HENDRSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
720 W. CHEYENNE AVE SUITE 180, NORTH LAS VEGAS, NV 89030
(702) 518-4337
Mailing address
720 W. CHEYENNE AVE SUITE 180, NORTH LAS VEGAS, NV 89030

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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