Individual
MRS. DIONNE REONDA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BRAZIL ST, COMPTON, CA 90220-1720
(442) 235-8415
Mailing address
1001 W BRAZIL ST, COMPTON, CA 90220-1720
(442) 235-8415
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A3320972
CA
172A00000X
Driver
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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