Individual
STEPHANIE ELISE HENGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2370 GRANDE VISTA PL, OAKLAND, CA 94601-1351
(510) 434-7990
(510) 434-7991
Mailing address
2370 GRANDE VISTA PL, OAKLAND, CA 94601-1351
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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