Individual
ANTESHIA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 W BRITTON RD, OKLAHOMA CITY, OK 73120-1505
(405) 840-9000
Mailing address
2113 W BRITTON RD, OKLAHOMA CITY, OK 73120-1505
(405) 840-9000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
L081020007
OK
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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