Individual
CANDICE ANNE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 RANGELEY AVE, DAYTON, OH 45403-1617
(419) 283-6822
Mailing address
1503 RANGELEY AVE, DAYTON, OH 45403-1617
(419) 283-6822
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
374U00000X
Home Health Aide
—
OH
Other
Enumeration date
11/18/2024
Last updated
11/21/2024
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