Individual
JOSEPH ALEXANDER HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
(619) 232-7048
Mailing address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
(619) 232-7048
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211542
CA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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