SearchOhio251E00000X

Modesty Henderson

NPI 1851989354 · on the registry since 2021 · sole proprietor

Practice

Address
12707 Harvard Ave
Cleveland, OH 44105
Phone
(216) 278-5652

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-10

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 Ohio