Individual
MRS. BETSY VIRGINIA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
633 FRANKLIN ST, NEWHEBRON, MS 39140-5421
(601) 455-6800
Mailing address
PO BOX 135, NEWHEBRON, MS 39140-0135
(601) 455-6800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1635
MS
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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