Individual
JAONTRA LANAE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 BROADWAY, OAKLAND, CA 94612-2414
(510) 542-6544
Mailing address
2323 BROADWAY, OAKLAND, CA 94612-2414
(510) 542-6544
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
01/21/2022
Last updated
03/03/2025
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