Individual
MRS. DIONNE LASHON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
625 E HARDY ST, INGLEWOOD, CA 90301-4106
(310) 673-6581
Mailing address
5589 CERRITOS AVE, LONG BEACH, CA 90805-5435
(562) 746-3950
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18290
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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