Individual
MEGAN MARIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 LOWRY ST, MOSES LAKE, WA 98837-3103
(509) 293-3502
Mailing address
1214 LOWRY ST, MOSES LAKE, WA 98837-3103
(509) 293-3502
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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