Individual
CAROLYN LOUISE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5005 GLENNWOOD DR, KILLEEN, TX 76542-4314
(254) 368-7166
Mailing address
5005 GLENNWOOD DR, KILLEEN, TX 76542-4314
(254) 368-7166
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
191735
TX
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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