Individual
CARESSE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 MEDSTAR BLVD, BEL AIR, MD 21015-1798
(410) 877-8078
Mailing address
5200 W LE MOYNE ST, CHICAGO, IL 60651-1419
(312) 316-0607
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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