Charles Henderson, PA-C
NPI #1700665536 in Upland, California
Provider Information
- NPI Number
- 1700665536
- Entity Type
- Individual
- Name
- Charles Henderson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 21, 2023
- Last Updated
- Jan 12, 2024
Practice Location
- Address
- 1230 E ARROW HWY
- City
- Upland
- State
- California
- ZIP Code
- 91786-4910
- Phone
- (626) 807-8545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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