Mr. George C. Henderson
Meals Provider in Washington, DC(View on Map)
Full Name
Mr. George Cleveland Henderson
NPI Number
1144062530
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/07/2024
Specialties
(Taxonomies)Code
174200000X
332U00000X
374K00000X
Primary Taxonomy
Yes
No
No
Licenses
State
District Of Columbia
License Number
FS-103770
Contact
Information
Purpose
Mailing
Location
Address
900 G ST NE APT 502
900 G ST NE APT 502
City
Washington
Washington
State
DC
DC
Postal Code
20002-7414
20002-7414
Country
US
US
Telephone Number
(856) 895-1535
(856) 895-1535
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/07/2024
Provider Address
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