Search › Missouri › 2251G0304X
Jason Henry
NPI 1891088209 · on the registry since 2011 · sole proprietor
Practice
- Address
- 164 Lake Apollo Dr
Hannibal, MO 63401 - Phone
- (858) 200-5690
Registry record
- Primary taxonomy
- 2251G0304X
2251G0304X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-17
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 Missouri