MS. Latisha Lashay Henderson

NPI #1902416548 in Daphne, Alabama

Provider Information

NPI Number: 1902416548
Entity Type: Individual
Name: MS. Latisha Lashay Henderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Aug 7, 2020
Last Updated: Aug 7, 2020

Practice Location

Address: 28250 US HIGHWAY 98
City: Daphne
State: Alabama
ZIP Code: 36526-7014
Phone: (251) 202-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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