MARCELLUS PERRIS HENDERSON

WASKOM, TX
NPI1265925424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-06-12
Last Update Date2018-06-12
Business Address
MARCELLUS PERRIS HENDERSON
725 W TEXAS AVE APT 4031
WASKOM, TX 75692-9516
Phone number: 318-861-8938
Mailing Address
MARCELLUS PERRIS HENDERSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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