Individual
NICOLE MARGARET HENNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MAIN ST, JOSEPH, OR 97846-5033
(208) 340-0290
Mailing address
PO BOX 135, JOSEPH, OR 97846-0135
(208) 340-0290
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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