Individual
DANIELLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 VINE ST STE E, HUDSON, WI 54016-5862
(715) 381-1234
Mailing address
2215 VINE ST STE E, HUDSON, WI 54016-5862
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4080-35
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2025
Last updated
07/07/2025
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