Sandra Lea Henderson
NPI #1104049691 in Villa Park, Illinois
Provider Information
- NPI Number
- 1104049691
- Entity Type
- Individual
- Name
- Sandra Lea Henderson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 205 N WISCONSIN AVENUE
- City
- Villa Park
- State
- Illinois
- ZIP Code
- 60181-2034
- Phone
- (630) 530-7776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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