Individual
MRS. TAMMY JANEEN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
144 1ST ST UNIT D, ELIZABETH, NJ 07206-2856
(908) 313-7901
Mailing address
144 1ST ST UNIT D, ELIZABETH, NJ 07206-2856
(908) 313-7901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR22571100
NJ
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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