Individual
SHARON A HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
82 COUNTY ROAD 122, ESPANOLA, NM 87532-3187
(505) 753-7576
Mailing address
PO BOX 693, MEDANALES, NM 87548-0693
(505) 570-9984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8503
NM
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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