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Elyse Henderson
Student in an Organized Health Care Education/Training Program in Fairfield, California
NPI 1841623212

Elyse Henderson is a Student in an Organized Health Care Education/Training Program based in Suisun City, CA. Elyse Henderson practices in Fairfield, CA. The NPI Number for Elyse Henderson is 1841623212 and holds a License No. D8527565 (California).

The current practice location address for Elyse Henderson is 470 Chadbourne Rd Ste E, Fairfield, CA and can be reached out via phone at 707-425-9670.

Location: 470 Chadbourne Rd Ste E, Fairfield, CA, 94585-3052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841623212
Provider Name
Elyse Henderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
470 Chadbourne Rd Ste E, Fairfield, CA, 94585-3052
Phone Number
707-425-9670
Fax Number
Provider Enumeration Date
08/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
470 Chadbourne Rd Ste E
City
Fairfield
State
California
Zip
94534-9620
Phone Number
707-425-9670
Fax Number
person
Provider Business Mailing Address Details
Address
470 Chadbourne Rd Ste E
City
Fairfield
State
California
Zip
94534-9620
Phone Number
707-425-9670
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D8527565 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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