Jacquelynn Dian Henderson, PA-C

NPI #1003875253 in Phoenix, Arizona

Provider Information

NPI Number
1003875253
Entity Type
Individual
Name
Jacquelynn Dian Henderson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 17, 2006
Last Updated
Jan 11, 2016

Practice Location

Address
4800 N 22ND ST
State
Arizona
ZIP Code
85016-4701
Phone
(602) 955-1000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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