Individual
MELISSA ANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 CHERRY ST STE 11484, PHILADELPHIA, PA 19102-1312
(215) 255-7893
Mailing address
2509 W HAROLD ST, PHILADELPHIA, PA 19132-3608
(267) 474-6723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN675172
PA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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