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Individual
DR. ELAINE M HENSLEY
Active
Individual
DR. ELAINE M HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, DIPL. O.M., LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17647
CA
225700000X
Massage Therapist
73264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17647
CA LICENSE
CA
Enumeration date
06/21/2017
Last updated
06/15/2020
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