Angela Hope Henson P.A.

NPI 1497907737 - Physician Assistant - 363A00000X

NPI Details
NPI 1497907737
Gender Female
Enumeration Date 10/17/2008
Last Updated 10/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
201 BAILEY LN
BENTON IL, 62812-1969, US
Phone (618) 439-3161
Fax (618) 439-4049
Business Location
201 BAILEY LN
BENTON IL, 62812-1969, US
Phone (618) 439-3161
Fax (618) 439-4049
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085003341
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According to our database, Ms. Angela Hope Henson P.A. NPI is 1497907737, taxonomy code is 363A00000X and license number is 085003341, license state is located at Illinois. Angela Hope Henson P.A. physically located at 201 Bailey Ln, Benton IL, 62812-1969. NPI Number Angela Hope Henson P.A. has the Individual type.

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1497907737 NPI number is provided on an as is basis without warranty of any kind. 1497907737 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Hope Henson P.A. are for informational purposes only.