Individual
MRS. MARCELA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 HUMPHREY ST SE, OLYMPIA, WA 98501-7627
(360) 888-6575
Mailing address
1816 HUMPHREY ST SE, OLYMPIA, WA 98501-7627
(360) 888-6575
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
602640268
WA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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