Henderson, Laura

Henderson, Laura is an individual health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4897. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Henderson, Laura can be contacted via phone (707) 525-5300.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4897
Phone: (707) 525-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1084604 California

Profile Details

NPI number 1316319130
LBN Legal business name Henderson, Laura
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2015
Last updated Nov 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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