Individual
MARILYN C HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
882 MILLERSVILLE RD, LANCASTER, PA 17603-6154
(717) 291-0391
(717) 291-0832
Mailing address
882 MILLERSVILLE ROAD, LANCASTER, PA 17603
(717) 291-0391
(717) 291-0832
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002642L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681042
—
PA
Enumeration date
02/01/2006
Last updated
07/08/2007
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