Individual
LAVENIA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 N ST SW, WASHINGTON, DC 20024-4127
(202) 377-9268
Mailing address
74 N ST SW, WASHINGTON, DC 20024-4127
(202) 377-9268
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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