Individual
SHAMPREA MARIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 N HAMMON DR, APOPKA, FL 32703-7520
(321) 877-5927
Mailing address
1806 N HAMMON DR, APOPKA, FL 32703-7520
(321) 877-5927
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907133
FL
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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