Individual
ANTHONY HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10554 SUCCESS LN, CENTERVILLE, OH 45458-3658
(937) 619-3111
Mailing address
10554 SUCCESS LN, CENTERVILLE, OH 45458-3658
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 133412 IV
OH
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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