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Individual

JONETTA HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
137 N COTTONWOOD ST, WOODLAND, CA 95695-6646
(530) 312-5127
(530) 312-5127
Mailing address
137 N COTTONWOOD ST, WOODLAND, CA 95695-6646
(530) 312-5127
(530) 312-5127

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-BLMFTD
CA

Other

Enumeration date
10/20/2025
Last updated
11/06/2025
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