Individual
AMY E HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
194 MAIN ST, ELLSWORTH, ME 04605-1939
(207) 266-8034
Mailing address
241 SURRY RD, ELLSWORTH, ME 04605-2627
(207) 266-8034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1963
ME
Other
Enumeration date
02/12/2009
Last updated
01/24/2023
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