MR. KEILAND HENDERSON

Contractor

Active Individual
NPI: 1093019846

Practice Address

151 W CLEVELAND ST
Stockton, CA 95204

Phone: (916) 470-8628

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1093019846 is the National Provider Identifier for MR. KEILAND HENDERSON, a Contractor provider located in Stockton, CA. This NPI was enumerated on January 7, 2011.
MR. KEILAND HENDERSON practices at 151 W CLEVELAND ST, Stockton, CA 95204.

Quick Facts

NPI
1093019846
Type
Individual
Enumerated
Jan 7, 2011
Last Updated
Jun 7, 2023

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