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Contact Information

JULIE L HENDERSON, R.D.
300 EL CAMINO REAL
SIERRA VISTA, AZ85635-2812
 Phone: 520-417-4994
 Fax: 520-417-4994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JULIE L HENDERSON · (Female)

NPI # 1013095967
Status Active
Credentials R.D.
Entity Individual
Enumeration date 11/01/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 836625
  • AZ Other 00836625 AMERICAN DIETETIC ASS.
  • AZ Other 836625 CDR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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