Individual
TAWANA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 E HAMILTON AVE, FLINT, MI 48505-4707
(810) 233-5340
Mailing address
765 E HAMILTON AVE, FLINT, MI 48505-4707
(810) 233-5340
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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