Individual
MRS. SOPHIA JUSTINE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
7400 MALONE RD, FORESTVILLE, CA 95436-9597
(707) 529-8102
Mailing address
7400 MALONE ROAD, FORESTVILLE, CA 95436-1066
(707) 529-8102
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
503
CA
Other
Enumeration date
09/10/2013
Last updated
07/13/2021
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