Individual
SHARON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 MISSOURI 109, EUREKA HIGH SCHOOL, EUREKA, MO 63025
(636) 733-3100
Mailing address
4525 MISSOURI 109, EUREKA HIGH SCHOOL, EUREKA, MO 63025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012028959
MO
Other
Enumeration date
09/10/2015
Last updated
12/10/2015
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