Robert Henson
Specialist in Ventura, CA. Individual provider (NPI-1).
NPI number1790834331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790834331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Henson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
5700 Ralston StSte 312
Ventura, CA 93003-6050
Phone 805-642-7033 · Fax 805-642-7732
Mailing address
4457 Calle ArgollaCamarillo, CA 93012-5198
Phone 805-746-6465
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