Individual
MS. DONNA HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AP, RN
Contact information
Practice address
310 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9219
(352) 222-1679
Mailing address
310 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9219
(352) 222-1679
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0697
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/23/2006
Last updated
07/08/2007
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