Individual
MR. KATINA LENEIL HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4603
(719) 524-2047
(719) 524-3526
Mailing address
1650 COCHRANE CIR, FT CARSON, CO 80913-4603
(719) 526-7649
(719) 526-7019
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
116976
CO
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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