SHAUNTELLE HENDERSON

CHICAGO, IL
NPI1760055008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043.089473)
Additional Taxonomies251J00000X Nursing Care
(Licence: IL  043.089473)
305S00000X Point of Service
Enumeration Date2021-07-23
Last Update Date2022-01-09
Business Address
SHAUNTELLE HENDERSON LPN
312 W 52ND PL
CHICAGO, IL 60609-6229
Phone number: 773-956-4603
Mailing Address
SHAUNTELLE HENDERSON LPN
304 S JONES BLVD # 2440
LAS VEGAS, NV 89107-2623
Phone number: 708-506-1536