Minell Henderson

NPI #1932646247 in Casa Grande, Arizona

Provider Information

NPI Number: 1932646247
Entity Type: Individual
Name: Minell Henderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jan 24, 2017
Last Updated: Sep 15, 2020

Practice Location

Address: 1320 E PALO VERDE DR.
City: Casa Grande
State: Arizona
ZIP Code: 85122
Phone: (480) 845-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X
Contractor	171W00000X	Primary

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