JUSTIN HENDERSON

PONDERAY, ID
NPI1770112138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  9132375-4405)
Enumeration Date2020-04-07
Last Update Date2024-04-06
Business Address
JUSTIN HENDERSON NP
30544 ID-200 #101
PONDERAY, ID 83852
Phone number: 208-263-6300
Mailing Address
JUSTIN HENDERSON NP
700 W IRONWOOD DR STE 120E
COEUR D ALENE, ID 83814-2656
Phone number: 208-625-3640
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