Individual
STEVENSON HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6565 W BETHANY HOME RD APT 261, GLENDALE, AZ 85301-4959
(941) 999-0895
Mailing address
6565 W BETHANY HOME RD APT 261, GLENDALE, AZ 85301-4959
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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