SHANNA HENDERSON

GRAND RAPIDS, MI
NPI1649601295
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006999)
Enumeration Date2013-12-09
Last Update Date2021-12-14
Business Address
SHANNA HENDERSON
245 CHERRY ST SE STE 200
GRAND RAPIDS, MI 49503-4607
Phone number: 616-685-6330
Mailing Address
SHANNA HENDERSON
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number: