Raeann Henderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720524390

Raeann Henderson is a Student in an Organized Health Care Education/Training Program in Millington, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in: MI
In the registry since: 2017

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Practice location Address checks out

3510 Swaffer Rd
Millington, MI 48746-9055
Phone: (989) 871-6274

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary)	Taxonomy 390200000X · Licence H536730603065 (MI)

Record details

NPI number	1720524390
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	January 6, 2017
Last updated in NPPES	January 6, 2017
Mailing address	3510 Swaffer Rd, Millington, MI 48746-9055