Individual
ELIZABETH ANN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3495 PAYNE THOMPSON RD, LONDON, OH 43140-9403
(937) 408-2992
Mailing address
500 ELM ST, LONDON, OH 43140-9254
(740) 852-7050
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
4901809
OH
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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