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1043599111
ROSHONTAE HENLEY
OAKLAND, CA
NPI
1043599111
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Former Name
ROSHONTAE HENLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN226538)
Enumeration Date
2011-08-08
Last Update Date
2012-07-21
Business Address
Miss ROSHONTAE HENLEY LVN
280 PARK VIEW TER
OAKLAND, CA 94610-4570
Phone number: 510-466-3634
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Mailing Address
Miss ROSHONTAE HENLEY LVN
280 PARKVIEW TERRACE
OAKLAND, CA 94610-2123
Phone number:
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