Individual
BRENDA LEE HENDERSON-STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15612 15TH AVENUE CT E, TACOMA, WA 98445-2402
(253) 536-6774
Mailing address
15612 15TH AVENUE CT E, TACOMA, WA 98445-2402
(253) 536-6774
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00038751
WA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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