Individual provider · Type 1 NPI
Candice Henderson
Specialist · Linden, NJ
NPI number
1831592054
Active
Practice location
1141 Hollywood Rd Apt B
Linden, NJ 07036-5629
Mailing address
1141 Hollywood Rd, Apt. B
Linden, NJ 07036-5629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 860100141 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1831592054
Candice Henderson's National Provider Identifier is 1831592054, issued on Oct 1, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Linden, NJ. The record was last updated on Oct 1, 2014.