Individual
KENESHIA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20700 AVALON BLVD STE 190, CARSON, CA 90746-3708
(424) 340-2347
Mailing address
PO BOX 11369, CARSON, CA 90749-1369
(424) 340-2347
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
139685
CA
Other
Enumeration date
05/14/2022
Last updated
11/21/2022
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