Individual
TONIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2865 DAGGETT AVE, SKY LAKES NUTRITION SERVICES, KLAMATH FALLS, OR 97601-1106
(541) 274-3800
(541) 274-2731
Mailing address
2865 DAGGETT AVE, SKY LAKES NUTRITION SERVICES, KLAMATH FALLS, OR 97601-1106
(541) 274-3800
(541) 274-2731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000979
OR
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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