Individual
MR. MICHAEL GEORGE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 726-6036
Mailing address
125 GLOVER AVE, HAMPTON, VA 23665-1906
(808) 738-7241
(757) 224-1869
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002059320
VA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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