MARQUITA HENDERSON

SHREVEPORT, LA
NPI1407350812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: LA  31134)
Enumeration Date2018-03-20
Last Update Date2018-03-20
Business Address
MARQUITA HENDERSON
1101 GOOSEBERRY HL
SHREVEPORT, LA 71118-3508
Phone number: 318-658-3528
Mailing Address
MARQUITA HENDERSON
1101 GOOSEBERRY HL
SHREVEPORT, LA 71118-3508
Phone number: 318-658-3528
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