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Search › California › 163WL0100X

Breon Henderson, RNC, MSN, CLC

NPI 1851837454 · on the registry since 2017

Practice

Address
510 Cypress St
Ste D
Fort Bragg, CA 95437
Phone
(707) 964-5696
Fax
(707) 964-6274
Organisation at this address
Jason D Moore
Mendocino Coast Clinics, Inc
Mendocino Coast Clinics, Inc.
William M Mahon & Jeffrey M Kraut
William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
163WL0100X
163WL0100X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California