Individual
GLORIA GRACE HENNESSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCD(DONA)
Contact information
Practice address
11903 W PICO BLVD, LOS ANGELES, CA 90064-1312
(310) 502-6965
Mailing address
2355 WESTWOOD BLVD # 384, LOS ANGELES, CA 90064-2109
(310) 502-6965
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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