Individual
AYANA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(857) 206-7619
(617) 425-2081
Mailing address
151 LESTER RD, BROCKTON, MA 02302-1505
(857) 206-7619
(617) 425-2081
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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