Individual provider · Type 1 NPI

Quolitta G. Henderson

Student in an Organized Health Care Education/Training Program · Mountain Brk, AL

NPI number 1346971769 Active

Practice location

4476 Montevallo Rd
Mountain Brk, AL 35213-1519

Mailing address

3501 23rd St N
Birmingham, AL 35207-3407

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346971769

Quolitta G. Henderson's National Provider Identifier is 1346971769, issued on Jun 17, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mountain Brk, AL. The record was last updated on Jun 17, 2022.