Individual
ANGELA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
10324 COLLEGE SQ, COLUMBIA, MD 21044-4607
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00011600
MD
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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