Individual
THERESA NILSON HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8635 W 3RD ST STE 1195W, LOS ANGELES, CA 90048-6146
(866) 423-8661
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-2308
(206) 860-2215
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A121297
CA
207RN0300X
Nephrology Physician
MD60668555
WA
Other
Enumeration date
04/03/2010
Last updated
03/27/2020
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