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Individual

MS. JENIFER ANN HENRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1531 ESPLANADE, CHICO, CA 95926
(530) 332-7330
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A83186
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A831860
CA
Enumeration date
06/10/2006
Last updated
10/11/2007
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