Individual
TAMELA MARIE HENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
106 S 7TH AVE, YAKIMA, WA 98902-3306
(509) 307-5005
(509) 469-0467
Mailing address
3309 TACOMA ST, UNION GAP, WA 98903-1970
(509) 307-5005
(509) 469-0467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023098
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214628
WA STATE L&I PROVIDER #
WA
Enumeration date
07/06/2007
Last updated
07/08/2007
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