Individual
ANNIE THU HENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, BUILDING 4, MODESTO, CA 95350-6131
(209) 238-9436
(209) 569-0676
Mailing address
800 SCENIC DR, BUILDING 4, MODESTO, CA 95350-6131
(209) 238-9436
(209) 569-0676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/21/2007
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