Individual
DENISE LATRICE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 W STATE ST, ASHLEY, IN 46705-9767
(260) 220-4961
Mailing address
PO BOX 15022, FORT WAYNE, IN 46885-5022
(260) 220-4961
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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