Individual
ALYSIA DAWN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
403 W ORANGE AVE, SOUTH SAN FRANCISCO, CA 94080-4443
(408) 838-1834
Mailing address
2024 CLARMAR WAY APT 8, SAN JOSE, CA 95128-1709
(408) 838-1834
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
03/17/2018
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