MICHALA HENDERSON

PEORIA, IL
NPI1437902335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.083565)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-09
Last Update Date2024-06-25
Business Address
MICHALA HENDERSON DO
815 MAIN ST STE C
PEORIA, IL 61602-1080
Phone number: 309-672-4977
Mailing Address
MICHALA HENDERSON DO
815 MAIN ST STE C
PEORIA, IL 61602-1080
Phone number: