Individual
KEYA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2308 GREEN ST SE, WASHINGTON, DC 20020-7321
(202) 594-5210
Mailing address
819 ALABAMA AVE SE, WASHINGTON, DC 20032-4246
(202) 534-6197
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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