Individual provider · Type 1 NPI
Ericka L. Henderson
Driver · Fontana, CA
NPI number
1184473555
Active
Practice location
15073 Primrose Ct
Fontana, CA 92336-1634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | B3639978 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1184473555
Ericka L. Henderson's National Provider Identifier is 1184473555, issued on May 16, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fontana, CA. The record was last updated on May 16, 2024.