Individual
MR. HENDERSON DEL VALLE ALTUVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 COW PEN RD STE 300, MIAMI LAKES, FL 33014-7619
(786) 955-5506
Mailing address
8321 NW 7TH ST APT 215, MIAMI, FL 33126-3916
(786) 307-2928
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0106669
FL
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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