Michelle Viola Henderson

NPI #1235304841 in Collingdale, Pennsylvania

Provider Information

NPI Number: 1235304841
Entity Type: Individual
Name: Michelle Viola Henderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 29 CHESTER PIKE
City: Collingdale
State: Pennsylvania
ZIP Code: 19023-2035
Phone: (484) 953-5109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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