Individual
ELRINA MAE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2782
(928) 283-2832
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2782
(928) 283-2832
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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