Individual
BETTINA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 MEAD ST, ROCHESTER, NY 14621-4511
(585) 498-5287
Mailing address
51 MEAD ST, ROCHESTER, NY 14621-4511
(585) 498-5287
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
611489217
NY
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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