Justin Henderson
Justin Henderson is an Adult Companion in Charleston, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1420 Kanawha Blvd WCharleston, WV 25387-2537
Phone: (304) 344-3403
Fax: (304) 414-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|
Record details
| NPI number | 1902493885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 28, 2020 |
| Last updated in NPPES | December 28, 2020 |
| Certification date | December 28, 2020 |
| Mailing address | 1420 Kanawha Blvd W, Charleston, WV 25387-2537 |
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Joyce L Coffman
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Laymond D Coleman
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Sharon Farley
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1420 Kanawha Blvd W, Charleston, WV 25387-2537 · (304) 344-3403
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1420 Kanawha Blvd W, Charleston, WV 25387-2537 · (304) 344-3403
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Melissa D Ray
114 Lee St W, Charleston, WV 25302-2342 · (304) 344-3403