Individual
ALLAN STEVEN HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23220 LYONS AVE, NEWHALL, CA 91321-2633
(661) 430-9360
Mailing address
23220 LYONS AVE, NEWHALL, CA 91321-2633
(661) 430-9360
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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