NPI 1073082814

Abdulqaadir Henry Henry

Practitioner Driver Toledo, OH

Practice location

Address: 4353 Overland Pkwy, Toledo, OH 43612-2116
Phone: (313) 212-0394
Fax: (419) 407-5748

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1073082814
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2018
Record last updated: 23 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.