Individual
BENITA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6024 KANO ST, SEAT PLEASANT, MD 20743-1501
(301) 520-5980
Mailing address
6024 KANO ST, SEAT PLEASANT, MD 20743-1501
(301) 520-5980
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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