Provider Demographics
NPI:1619783685
Name:HENRY, ANAJAIRA LEBRON
Entity type:Individual
Prefix:
First Name:ANAJAIRA
Middle Name:LEBRON
Last Name:HENRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 SWARTZ RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-1112
Mailing Address - Country:US
Mailing Address - Phone:330-396-9149
Mailing Address - Fax:
Practice Address - Street 1:141 SWARTZ RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1112
Practice Address - Country:US
Practice Address - Phone:330-396-9149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory