Individual
DR. YOLANDA VASHUND HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D
Contact information
Practice address
820 HIGHWAY 138 SW, RIVERDALE, GA 30296-1502
(188) 895-9209
(888) 959-2093
Mailing address
820 HIGHWAY 138 SW, RIVERDALE, GA 30296-1502
(188) 895-9209
(888) 959-2093
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
GA
175F00000X
Naturopath
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
12/12/2016
Last updated
04/15/2021
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