Individual
CAITLIN OLIVIA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9460 COPPERFIELD DR N, MOBILE, AL 36608-9422
(334) 444-0235
Mailing address
9460 COPPERFIELD DR N, MOBILE, AL 36608-9422
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12449
AL
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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