Henry Petersen is a student in an organized health care education training program in Dallas, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Henry Petersen NPI is 1346781275. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5829 KENWOOD AVE
DALLAS, TX
ZIP 75206-589
Phone: (818) 746-6505
The enumeration date for this NPI number is 3/11/2017 and was last updated on 3/11/2017.