Individual
JEREMIAH HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-3059
(916) 291-0626
Mailing address
7501 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-3059
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
03/12/2025
Last updated
04/28/2025
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