person
Malik Henderson
NPI 1194321000

Malik Henderson is a Driver based in Menomonee Falls, WI. Malik Henderson practices in Menomonee Falls, WI. The NPI Number for Malik Henderson is 1194321000 and holds a License No. (Wisconsin).

The current practice location address for Malik Henderson is N91W16112 Junction Way Apt 304, Menomonee Falls, WI and can be reached out via phone at 414-795-4551. You can also correspond with Malik Henderson through the mailing address at N91W16112 JUNCTION WAY APT 304, MENOMONEE FALLS, WI - 53051-3195 (mailing address contact number: 414-795-4551).

Location: N91W16112 Junction Way Apt 304, Menomonee Falls, WI, 53051-3195
person
Provider Profile Details
NPI Number
1194321000
Provider Name
Malik Henderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
N91W16112 Junction Way Apt 304, Menomonee Falls, WI, 53051-3195
Phone Number
414-795-4551
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100139027 05 WI
institution
Provider Business Practice Location Address Details
Address
N91W16112 Junction Way Apt 304
City
State
Zip
53051-3195
Phone Number
414-795-4551
Fax Number
person
Provider Business Mailing Address Details
Address
N91W16112 Junction Way Apt 304
City
State
Zip
53051-3195
Phone Number
414-795-4551
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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