Individual
KERRI D HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CLC
Contact information
Practice address
1400 43RD AVE, SACRAMENTO, CA 95822-2932
(916) 667-4718
Mailing address
1400 43RD AVE, SACRAMENTO, CA 95822-2932
(916) 667-4718
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225700000X
Massage Therapist
Primary
94278.
CA
Other
Enumeration date
04/05/2018
Last updated
07/01/2024
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