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Individual

MR. DENIS HENTRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-3507
(530) 841-8533
Mailing address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-3507
(530) 841-8533

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13672
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13672
LICENSE
CA
Enumeration date
09/20/2006
Last updated
03/13/2014
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