Elyse Henderson
Elyse Henderson is a Student in an Organized Health Care Education/Training Program in Fairfield, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
470 Chadbourne Rd Ste EFairfield, CA 94534-9620
Phone: (707) 425-9670
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence D8527565 (CA) |
|---|
Record details
| NPI number | 1841623212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 20, 2013 |
| Last updated in NPPES | August 20, 2013 |
| Mailing address | 1403 Humbolt Dr, Suisun City, CA 94585-3052 |
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