Individual
VIVIAN ANN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15906 COUNTY ROAD 3460, SLATON, TX 79364-7942
(806) 828-4719
(806) 828-8428
Mailing address
15906 COUNTY ROAD 3460, SLATON, TX 79364-7942
(806) 828-4719
(806) 828-8428
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
228787
TX
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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