Individual
MARY HENDERSHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNMT
Contact information
Practice address
3675 BIG PINE RD, MELBOURNE, FL 32934-8537
(321) 316-1777
Mailing address
3675 BIG PINE RD, MELBOURNE, FL 32934-8537
(321) 316-1777
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
039695
FL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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