Individual
JUSTIN SCOT HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CWCN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 451-4688
Mailing address
414 INTERSTATE BLVD, HARWOOD, ND 58042-4001
(701) 793-2064
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
R33505
ND
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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