Individual
MS. BIANCA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 BROADWAY, OAKLAND, CA 94612-2310
(510) 755-5597
Mailing address
2118 BROADWAY, OAKLAND, CA 94612-2310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
08/28/2007
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