Individual
MR. MICHAEL J HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
8332 BRANCHWOOD PL, RANCHO CUCAMONGA, CA 91730-3317
(909) 319-5069
Mailing address
8332 BRANCHWOOD PL, RANCHO CUCAMONGA, CA 91730-3317
(909) 319-5069
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
23219
CA
Other
Enumeration date
08/26/2014
Last updated
11/01/2016
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