Search › California › 171M00000X
Justin Henderson
NPI 1649773037 · on the registry since 2018
Practice
- Address
- 1450 Main St.
Weaverville, CA 96093 - Phone
- (530) 623-1362
- Fax
- (530) 623-1447
- Organisation at this address
- Trinity County
County Of TrinityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California