Individual
EMERALD HENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 259-5000
Mailing address
PO BOX 219, NEW ALMADEN, CA 95042-0219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55004
CA
Other
Enumeration date
11/01/2017
Last updated
12/16/2019
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