Individual
LAVORYA B HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
600 W 6TH ST STE 400, FORT WORTH, TX 76102-2849
(800) 820-8210
Mailing address
6659 SHERIDAN RD, FORT WORTH, TX 76134-2932
(817) 722-4026
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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