Individual
BRIDGET HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6117 KITAMAYA ST, NORTH LAS VEGAS, NV 89031-1764
(909) 202-6599
Mailing address
6117 KITAMAYA ST, NORTH LAS VEGAS, NV 89031-1764
(909) 202-6599
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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