Individual
BROGAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 UNIVERSITY SQ, ERIE, PA 16541-0002
(585) 443-5436
Mailing address
3181 ELM RD, GENESEO, NY 14454-9701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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