Individual
QUOLITTA G HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4476 MONTEVALLO RD, MOUNTAIN BRK, AL 35213-1519
(205) 951-9711
Mailing address
3501 23RD ST N, BIRMINGHAM, AL 35207-3407
(205) 281-4522
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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