DERRICK L HENDERSON

SHREVEPORT, LA
NPI1902673668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
DERRICK L HENDERSON
3005 LONG PINES DR
SHREVEPORT, LA 71119-3412
Phone number: 318-572-6337
Mailing Address
DERRICK L HENDERSON
3005 LONG PINES DR
SHREVEPORT, LA 71119-3412
Phone number: 318-572-6337
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