ELYSE HENDERSON

FAIRFIELD, CA
NPI1841623212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  D8527565)
Enumeration Date2013-08-20
Last Update Date2013-08-20
Business Address
-- ELYSE HENDERSON
470 CHADBOURNE RD STE E
FAIRFIELD, CA 94534-9620
Phone number: 707-425-9670
Mailing Address
-- ELYSE HENDERSON
1403 HUMBOLT DR
SUISUN CITY, CA 94585-3052
Phone number: 707-631-3562
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