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Individual

MS. JEAN E HENSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4154 CHARLENE DR, LOS ANGELES, CA 90043-1553
(248) 721-6527
(714) 948-5912
Mailing address
11138 DEL AMO BLVD STE 329, LAKEWOOD, CA 90715-1103
(248) 721-6527
(714) 948-5912

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95010762
CA

Other

Enumeration date
01/14/2019
Last updated
01/24/2024
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