Individual
ALEX ANTONIO HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13330 VAUGHN ST, SAN FERNANDO, CA 91340-2216
(818) 896-7461
Mailing address
13330 VAUGHN ST, SAN FERNANDO, CA 91340-2216
(818) 896-7461
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
35F8E25B52
CA
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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