Individual
MS. MECHEL M HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 CLAY ST, SUITE 600, OAKLAND, CA 94612-1425
(510) 222-5421
(510) 222-5249
Mailing address
1300 CLAY ST, STE 600, OAKLAND, CA 94612-1427
(510) 222-5421
(510) 222-5249
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A76404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A764040
MEDICARE RELATED
—
Enumeration date
04/06/2006
Last updated
02/01/2017
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