NPI 1013342930

Sophia Justine Henderson, LMCPM

Practitioner Midwife Forestville, CA

Practice location

Address: 7400 Malone Rd, Forestville, CA 95436-9597
Phone: (707) 529-8102
Mailing address: 7400 Malone Road, Forestville, CA 95436-1066

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 503 (CA)

Other Midwife providers in California →

Registry record

NPI: 1013342930
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2013
Record last updated: 13 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.