Individual
MRS. MARYANNE ELIZABETH HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D., LD/N
Contact information
Practice address
1520 FLETCHER ST, HOLLYWOOD, FL 33020-6511
(954) 401-2946
Mailing address
1520 FLETCHER ST, HOLLYWOOD, FL 33020-6511
(954) 923-6500
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
ND3567
FL
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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