KEITH HENDERSON

LOS ANGELES, CA
NPI1215130430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: CA  5845)
Enumeration Date2007-06-06
Last Update Date2007-07-08
Business Address
-- KEITH HENDERSON
5115 W ADAMS BLVD
LOS ANGELES, CA 90016-2727
Phone number: 323-933-3439
Mailing Address
-- KEITH HENDERSON
2127 E 99TH PL #193
LOS ANGELES, CA 90002-3152
Phone number: 323-220-9356