Individual
RICHARD JAMES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4 19TH ST NE, WATERTOWN, SD 57201-3936
(605) 884-2429
(612) 725-1099
Mailing address
4 19TH ST NE, WATERTOWN, SD 57201-3936
(605) 884-2429
(612) 725-1099
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
13-79536-092
KS
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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