Individual
BREANNA J HENDERSHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 N SCOTIA CT, SCOTIA, CA 95565
(707) 672-2168
Mailing address
PO BOX 696, REDWAY, CA 95560-0696
(707) 672-2168
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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