Individual
ELISHA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1393 BAILEY DRIVE, HANFORD, CA 93230-5922
(559) 582-4481
Mailing address
1393 BAILEY DRIVE, HANFORD, CA 93230-5922
(559) 582-4481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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