Individual
JOHNETTA HENINGBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5307 FOREST OAKS DR S, MOBILE, AL 36618-2415
(251) 753-4760
Mailing address
5307 FOREST OAKS DR S, MOBILE, AL 36618-2415
(251) 753-4760
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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