Individual
JILL M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD, RD
Contact information
Practice address
4439 ST. RT. 159, SUITE 120, CHILLICOTHE, OH 45601
(740) 779-7201
(740) 779-7206
Mailing address
272 HOSPITAL RD, SUITE 3, CHILLICOTHE, OH 45601
(740) 779-7795
(740) 779-7477
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.5280
OH
Other
Enumeration date
05/02/2007
Last updated
08/23/2010
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