Individual
MRS. KERI HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
216 N JOHN REDDITT DR, LUFKIN, TX 75904-2620
(936) 261-4696
Mailing address
4704 N UNIVERSITY DR APT 214, NACOGDOCHES, TX 75965-2608
(936) 205-8897
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
199802
TX
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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