Individual
STEVEN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19509 WESTBROOK ST, DETROIT, MI 48219-1921
(248) 979-1516
Mailing address
19509 WESTBROOK ST, DETROIT, MI 48219-1921
(248) 979-1516
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230014797491009
MI
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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