Individual
DR. MARY NICOLE HENSELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
611 S MERIDIAN, PUYALLUP, WA 98371-5907
(253) 841-1534
Mailing address
2809 31ST ST SE, PUYALLUP, WA 98374-5129
(253) 770-8046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60142972
WA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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