Theresa Michele Henry P.A-C

NPI 1942316757 - Physician Assistant - 363A00000X

NPI Details
NPI 1942316757
Gender Female
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
350 TERRACINA BLVD
REDLANDS CA, 92373-4850, US
Phone (909) 335-5500
Fax
Business Location
2100 POWELL ST
STE 900
EMERYVILLE CA, 94608-1826, US
Phone (510) 350-2600
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA14684
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According to our database, Theresa Michele Henry P.A-C NPI is 1942316757, taxonomy code is 363A00000X and license number is PA14684, license state is located at California. Theresa Michele Henry P.A-C physically located at 350 Terracina Blvd, Redlands CA, 92373-4850. NPI Number Theresa Michele Henry P.A-C has the Individual type.

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1942316757 NPI number is provided on an as is basis without warranty of any kind. 1942316757 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Michele Henry P.A-C are for informational purposes only.