Individual
LATASHA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 TOWER LN, NAPLES, TX 75568-5827
(903) 371-2177
Mailing address
PO BOX 532, NAPLES, TX 75568-0532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
975462
TX
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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