Individual
MICHELLE REINA BOSLEY HENDERSON
Active
Individual
MICHELLE REINA BOSLEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8303357-1205
UT
208000000X
Pediatrics Physician
BP10035444
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
8303357-1205
UT
2080P0203X
Pediatric Critical Care Medicine Physician
DR.0056489
CO
Other
Enumeration date
06/16/2009
Last updated
01/30/2024
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