LORETTA V HENDERSON DPM

KISSIMMEE, FL
NPI1124264114
Entity TypeOrganization
Authorized ContactLORETTA V HENDERSON
Proprietor
866-365-3668
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: FL  PO1685)
Enumeration Date2008-12-23
Last Update Date2008-12-23
Business Address
LORETTA V HENDERSON DPM
1543 ALDERSGATE DR
KISSIMMEE, FL 34746-6545
Phone number: 866-365-3668
Mailing Address
LORETTA V HENDERSON DPM
PO BOX 720849
ORLANDO, FL 32872-0849
Phone number: 866-365-3668