Individual
BARBARA BETH HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N AMERICAN ST, RIDGECREST, CA 93555-3943
(760) 608-0157
Mailing address
7125 E STARDUST LN, PRESCOTT VALLEY, AZ 86315-4732
(760) 608-0157
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
279593
CA
Other
Enumeration date
08/21/2021
Last updated
08/23/2021
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