Individual provider · Type 1 NPI

Charlesetta Ladina Henderson

Other Technician · Detroit, MI

NPI number 1275985160 Active

Practice location

15902 Fordham St
Detroit, MI 48205-2948

Call (313) 658-4480 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X247200000XTECHNICIAN (MI)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1275985160

Charlesetta Ladina Henderson's National Provider Identifier is 1275985160, issued on Jul 5, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Detroit, MI. The record was last updated on Jul 5, 2016.