Individual
JOSEPH LAVELLE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 SEXTON RD, CLEVELAND, OH 44105-6005
(440) 539-9782
Mailing address
4440 SEXTON RD, CLEVELAND, OH 44105-6005
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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