Individual
JACQUELINE A HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8657 OAK AVE, ORANGEVALE, CA 95662-2337
(772) 971-4506
Mailing address
8657 OAK AVE, ORANGEVALE, CA 95662-2337
(772) 971-4506
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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