Individual
SHERESE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16481 BOWMAN ST, ROSEVILLE, MI 48066-3718
(586) 340-9817
Mailing address
16481 BOWMAN ST, ROSEVILLE, MI 48066-3718
(586) 340-9817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703127401
MI
Other
Enumeration date
05/07/2022
Last updated
11/26/2024
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