Individual
TASHANDA C HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 MISSION TRACE BLVD APT H4, TALLAHASSEE, FL 32303-2855
(850) 408-2070
Mailing address
3801 MISSION TRACE BLVD APT H4, TALLAHASSEE, FL 32303-2855
(850) 408-2070
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
408140
FL
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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