Individual
JANE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16360 DUNN ST STE 202, AMELIA COURT HOUSE, VA 23002-4807
(804) 561-2481
(804) 561-3224
Mailing address
PO BOX 229, AMELIA COURT HOUSE, VA 23002-0229
(804) 561-2481
(804) 561-3224
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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