Henderson, Mary Nicole

Henderson, Mary Nicole is an sole proprietor health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Henderson, Mary Nicole can be contacted via phone (510) 428-3885.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3885
Fax: (510) 428-3284
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1245578202
LBN Legal business name Henderson, Mary Nicole
Credentials PHD, RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2013
Last updated Jan 26th, 2013 - about 13 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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