Individual
MALIA PEARL HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
628 CALIFORNIA BLVD STE D1, SAN LUIS OBISPO, CA 93401-2559
(805) 242-4487
(805) 242-0427
Mailing address
628 CALIFORNIA BLVD STE D1, SAN LUIS OBISPO, CA 93401-2559
(805) 242-4487
(805) 242-0427
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
3883
CA
Other
Enumeration date
10/26/2023
Last updated
02/20/2026
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