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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYGRACE KALEEYAA HENDERSON

Active Sole Proprietor

MARYGRACE KALEEYAA HENDERSON is a Community Health Worker healthcare provider located in SANTA MONICA, California. NPI 1902503469 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · SANTA MONICA, CA

Registration Details

NPI Number
1902503469
Provider Type
Individual
Gender
Female
NPI Issued
Feb 14, 2023 (3.4912138801496 yrs)
Last Updated
Jul 3, 2023
Sole Proprietor
Yes

Practice Information

Address
1328 2ND ST
SANTA MONICA, CA, 904011122
Browse CA providers · Browse ZIP 90401
Phone
3103946889
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
Community Health Worker

Other Community Health Worker Providers in SANTA MONICA, CA

Name Credential NPI
MS. JEAN TOM R.T.C., MHRS 1821126640
ERICA ULLMAN 1932319969
KATE SUMMERS LCSW 1174793442
LESLIE JAMES JONES 1124293188
JAYE-LEIGH HAMILTON 1275708232
SEAN ORR 1427206812
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.