Individual
MS. LATISHA LASHAY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28250 US HIGHWAY 98, DAPHNE, AL 36526-7014
(251) 202-0550
Mailing address
28250 US HIGHWAY 98, DAPHNE, AL 36526-7014
(251) 202-0550
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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