Individual
MS. CANDICE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 HOLLYWOOD RD APT B, LINDEN, NJ 07036-5629
(908) 591-3296
Mailing address
1141 HOLLYWOOD RD, APT. B, LINDEN, NJ 07036-5629
(908) 591-3296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
860100141
NY
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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