Breyonna Henley

NPI #1417592759 in Gary, Indiana

Provider Information

NPI Number
1417592759
Entity Type
Individual
Name
Breyonna Henley
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Nov 11, 2019
Last Updated
Nov 11, 2019

Practice Location

Address
1100 W 6TH AVE
City
Gary
State
Indiana
ZIP Code
46402-1711
Phone
(219) 885-4264

Specialties & Taxonomy Codes

Specialty
Specialist

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