Individual
HETAL THAKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
521 N YOUNG ST, KENNEWICK, WA 99336-7806
(509) 221-5965
(509) 221-6330
Mailing address
111 10TH ST SW, JASPER, FL 32052-6021
(386) 855-0577
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DOL.OL.61548669
WA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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