Individual
DELORES MARIE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 W CARSON ST # N28, TORRANCE, CA 90502-2006
(310) 222-3714
Mailing address
6375 GREEN VALLEY CIR UNIT 312, CULVER CITY, CA 90230-8059
(310) 222-3714
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
205315
CA
363LW0102X
Women's Health Nurse Practitioner
2093
CA
Other
Enumeration date
11/17/2006
Last updated
09/11/2025
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