Individual
CAROLINE ELIZABETH HENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 667-4200
Mailing address
525 FAIRBROOK ST APT 201, NORTHVILLE, MI 48167-1347
(248) 672-3982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55829
CA
363A00000X
Physician Assistant
PA.0007368
CO
Other
Enumeration date
08/28/2018
Last updated
08/31/2022
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