Individual
MRS. DALE SHERI HENDERSON-ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 ACOMA DR, MASON, OH 45040-2103
(513) 336-9858
Mailing address
201 ACOMA DR, MASON, OH 45040-2103
(513) 336-9858
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN109194
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2706905
—
OH
Enumeration date
05/17/2007
Last updated
07/09/2007
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