Individual
MR. DALE SCOTT HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P
Contact information
Practice address
1141 ROSE AVE, SELMA, CA 93662-3241
(559) 891-6244
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NPF 11662
CA
Other
Enumeration date
09/01/2006
Last updated
08/02/2010
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