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Individual

EDWARD HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5101 ACCRINGTON WAY, SACRAMENTO, CA 95823-7305
(916) 425-8255
Mailing address
5101 ACCRINGTON WAY, SACRAMENTO, CA 95823-7305
(916) 425-8255

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N8044307
CA

Other

Enumeration date
03/09/2026
Last updated
03/09/2026
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