Individual
KENDALL LEIGH HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1975 VERDUGO BLVD, LA CANADA FLINTRIDGE, CA 91011-3022
(818) 249-9454
Mailing address
678 SILVERWOOD ST, IMPERIAL, CA 92251-8922
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA59130
CA
Other
Enumeration date
12/07/2020
Last updated
08/14/2024
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