Individual
JANA LORENE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 MCGEE ST, 905B, KANSAS CITY, MO 64106-2416
(816) 418-7840
Mailing address
1211 MCGEE ST, 905B, KANSAS CITY, MO 64106-2416
(816) 418-7840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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