Blake Tarleton Henderson
ActiveCalifornia license A128571
License
- Licensed by
- Medical Board of California
- License number
- A128571
- Status
- Active (Current)
- First issued
- January 28, 2014
- Expires
- September 30, 2027
- License holder
- Blake Tarleton Henderson
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Kaiser Permanente Roseville
1600 Eureka Blvd
Roseville, CA 95661
1600 Eureka Blvd
Roseville, CA 95661
Placer County