Individual
JANELLE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-8020
Mailing address
3176 CHATWIN AVE, LONG BEACH, CA 90808-3605
(443) 812-0671
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209011372041418979
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
95006414
CA
Other
Enumeration date
03/27/2014
Last updated
08/19/2020
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