NPI 1710399084
Larry Henderson
Practice location
- Address
- 5100 Obannon Dr APT 78, Las Vegas, NV 89146
- Phone
- (702) 272-3858
- Mailing address
- 5100 Obannon Dr APT 78, Las Vegas, NV 89146-3426
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1710399084
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 May 2014
- Record last updated
- 21 May 2014
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.