Individual
EVETTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
990 MARLANDWOOD RD, TEMPLE, TX 76502-3365
(254) 771-0852
Mailing address
4510 WANDERING VINE TRL, ROUND ROCK, TX 78665-1267
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
622624
TX
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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