Individual
ASHLEE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11705 ALAMEDA ST, LYNWOOD, CA 90262-4023
(323) 568-4678
Mailing address
11705 ALAMEDA ST, LYNWOOD, CA 90262-4023
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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