Male or Other

Mr. Henry Thrasher SOLE PROVIDER

Driver in Las Vegas, NV(View on Map)

Full Name

Mr. Henry Thrasher SOLE PROVIDER

NPI Number

1053825125

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/27/2017

Specialties

(Taxonomies)

Name

Code

172A00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3335 HAUCK ST
3335 HAUCK ST

City

Las Vegas
Las Vegas

State

NV
NV

Postal Code

89146-8022
89146-8022

Country

US
US

Telephone Number

(725) 201-2727
(725) 201-2727

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/27/2017

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