Individual
MR. GREGORY JOSEPH HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC. MAC.
Contact information
Practice address
1 LIBERTY AVE, JEFFERSONVILLE, PA 19403-3105
(610) 539-5600
Mailing address
1 LIBERTY AVE, JEFFERSONVILLE, PA 19403-3105
(610) 539-5600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK000982
PA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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