Individual
CLARE MARIE HENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(877) 771-4847
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(877) 771-4847
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057944
PA
Other
Enumeration date
10/09/2015
Last updated
01/21/2021
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