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Kaitlyn D Henris
Student in an Organized Health Care Education/Training Program in Petaluma, California
NPI 1013622661

Kaitlyn D Henris is a Student in an Organized Health Care Education/Training Program based in Petaluma, CA. Kaitlyn D Henris practices in Petaluma, CA. The NPI Number for Kaitlyn D Henris is 1013622661 and holds a License No. (California).

The current practice location address for Kaitlyn D Henris is 5350 Old Redwood Hwy, Petaluma, CA and can be reached out via phone at 707-565-1270.

Location: 5350 Old Redwood Hwy, Petaluma, CA, 94954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013622661
Provider Name
Kaitlyn D Henris
Credential
Provider Entity Type
Individual
Gender
Female
Address
5350 Old Redwood Hwy, Petaluma, CA, 94954
Phone Number
707-565-1270
Fax Number
Provider Enumeration Date
01/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5350 Old Redwood Hwy
City
Petaluma
State
California
Zip
94954
Phone Number
707-565-1270
Fax Number
person
Provider Business Mailing Address Details
Address
5350 Old Redwood Hwy
City
Petaluma
State
California
Zip
94954
Phone Number
707-565-1270
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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