Search › California › 171M00000X
Derrel Henderson
NPI 1508481870 · on the registry since 2020
Practice
- Address
- 6024 Friant Dr
Bakersfield, CA 93309 - Phone
- (661) 395-0369
- Organisation at this address
- New Start Youth Facility Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2020-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California