Individual
KENDALL THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1750 HOWE AVE, SUITE 500, SACRAMENTO, CA 95825-3367
(916) 978-1087
Mailing address
4732 T ST, SACRAMENTO, CA 95819-4746
(321) 446-1052
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95005028
CA
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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