Individual
MS. REBECCA HENKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12634 OLIVE BLVD, SAINT LOUIS, MO 63141-6337
(314) 996-8000
(314) 996-8436
Mailing address
660 S EUCLID AVE, C B 8058, SAINT LOUIS, MO 63110-1010
(314) 362-1700
(314) 362-9878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2000145761
MO
Other
Enumeration date
03/30/2007
Last updated
01/17/2014
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