Keoni K Henson
NPI #1356026819 in Apache Junction, Arizona
Provider Information
- NPI Number
- 1356026819
- Entity Type
- Individual
- Name
- Keoni K Henson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 21, 2023
- Last Updated
- Jun 21, 2023
Practice Location
- Address
- 1711 E BARNACLE AVE
- City
- Apache Junction
- State
- Arizona
- ZIP Code
- 85119-3796
- Phone
- (775) 412-2351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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