Shasa Rene Henry, RPSGT
NPI #1235998345 in Jackson, Mississippi
Provider Information
- NPI Number
- 1235998345
- Entity Type
- Individual
- Name
- Shasa Rene Henry, RPSGT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- RPSGT
- Enumeration Date
- Mar 19, 2024
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 1500 E WOODROW WILSON AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5116
- Phone
- (601) 362-4471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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