OTIS HENDERSON

LAS CRUCES, NM
NPI1992337745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-02-10
Last Update Date2020-02-10
Business Address
OTIS HENDERSON Case Manager
105 W GRIGGS AVE
LAS CRUCES, NM 88001-1235
Phone number: 575-647-2879
Mailing Address
OTIS HENDERSON Case Manager
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105