Individual
DANA NYREE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2105 FOREST AVE, SAN JOSE, CA 95128-1425
(408) 947-3999
Mailing address
1360 THE ALAMEDA APT 414, SAN JOSE, CA 95126-5009
(203) 464-4729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95139041
CA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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