Individual
GREGORY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
356 PRINCETON CT, ROSEVILLE, CA 95661-7761
(916) 878-0311
Mailing address
356 PRINCETON CT, ROSEVILLE, CA 95661-7761
(916) 878-0311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25547
CA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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