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Individual
CHRISTY M. HENDERSON-PETERSON
Active
Individual
CHRISTY M. HENDERSON-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NP11839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP11839
LICENSE
CA
Enumeration date
10/18/2006
Last updated
02/01/2013
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