Individual
QUANIKA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1327 BALTIC ST, SUFFOLK, VA 23434-4125
(757) 262-8368
Mailing address
1327 BALTIC ST, SUFFOLK, VA 23434-4125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001287622
VA
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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