Individual
MRS. RACHEL LYNN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
313 S EAST ST, BRIGHTON, MI 48116-1507
(734) 649-9966
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704248166
MI
Other
Enumeration date
10/21/2010
Last updated
12/01/2011
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