Individual
GLORIA C HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11010 WARWICK BLVD STE 2B, NEWPORT NEWS, VA 23601-3222
(757) 806-6808
Mailing address
11010 WARWICK BLVD STE 2B, NEWPORT NEWS, VA 23601-3222
(757) 806-6808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010035
VA
Other
Enumeration date
07/19/2018
Last updated
12/11/2018
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