Search › California › 124Q00000X
Kelly Henriquez, RDH
NPI 1174282123 · on the registry since 2021
Practice
- Address
- 883 W March Ln
Stockton, CA 95207 - Phone
- (209) 636-5555
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California