Individual
JOHNNESHA CORSHAY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 44TH ST SE, KENTWOOD, MI 49508-5321
(574) 703-5592
Mailing address
2120 44TH ST SE, KENTWOOD, MI 49508-5321
(574) 703-5592
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
H536428122252
MI
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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