CHARLESETTA HENDERSON

Technician, Other

Active Individual
NPI: 1275985160

Practice Address

15902 FORDHAM ST
Detroit, MI 48205

Phone: (313) 658-4480

Specialties

Specialty Code Primary License
Technician, Other 247200000X Yes 247200000XTECHNICIAN (MI)

Frequently Asked Questions

NPI 1275985160 is the National Provider Identifier for CHARLESETTA HENDERSON, a Technician, Other provider located in Detroit, MI. This NPI was enumerated on July 5, 2016.
CHARLESETTA HENDERSON practices at 15902 FORDHAM ST, Detroit, MI 48205.

Quick Facts

NPI
1275985160
Type
Individual
Enumerated
Jul 5, 2016
Last Updated
Jul 5, 2016

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