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MRS. SOPHIA JUSTINE HENDERSON LM, CPM

>> Midwife >> Other Service Providers

Registrant NPI Number: 1013342930

Individual Registrant:
MRS. SOPHIA JUSTINE HENDERSON LM, CPM
Gender: F
Sole Proprietor

Location and contact information for practice:
7400 MALONE RD  FORESTVILLE, CA 95436-9597 US
Tel: 707-529-8102  Fax: --

Contact information for business:
7400 MALONE ROAD  FORESTVILLE, CA 95436-1066 US
Tel: 707-529-8102  Fax: --

Registration Information:
NPI: 1013342930
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y176B00000XOther Service Providers
Midwife
CA503

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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