Individual
NICOLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 45TH ST NE APT 419, WASHINGTON, DC 20019-4685
(301) 717-0349
Mailing address
3149 HEATHCOTE RD, WALDORF, MD 20602-3528
(301) 717-0349
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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