JOHNETTA HENINGBURG

MOBILE, AL
NPI1700608528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date2024-10-31
Last Update Date2024-10-31
Business Address
JOHNETTA HENINGBURG
5307 FOREST OAKS DR S
MOBILE, AL 36618-2415
Phone number: 251-753-4760
Mailing Address
JOHNETTA HENINGBURG
5307 FOREST OAKS DR S
MOBILE, AL 36618-2415
Phone number: 251-753-4760