MRS. Delores Clack Henderson

NPI #1558702035 in Fresno, Texas

Provider Information

NPI Number
1558702035
Entity Type
Individual
Name
MRS. Delores Clack Henderson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Enumeration Date
Jul 11, 2013
Last Updated
Jul 11, 2013

Practice Location

Address
1615 MISTY FAWN LN
City
Fresno
State
Texas
ZIP Code
77545-9502
Phone
(713) 410-0475

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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