Bettina Louise Henderson

NPI #1891285607 in Columbus, Mississippi

Provider Information

NPI Number: 1891285607
Entity Type: Individual
Name: Bettina Louise Henderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: May 16, 2018
Last Updated: May 16, 2018

Practice Location

Address: 111 STOKES RD
City: Columbus
State: Mississippi
ZIP Code: 39702-7541
Phone: (662) 251-5074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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