Individual
MIA JANAY AURORA HENDERSON-BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2422 STANDARD AVE, SAN PABLO, CA 94806-3630
(510) 867-4051
Mailing address
2422 STANDARD AVE, SAN PABLO, CA 94806-3630
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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