SearchWashington1041C0700X

Jordyn Hengeveld

NPI 1871051243 · on the registry since 2019

Practice

Address
5019 Boardwalk St Se
Lacey, WA 98503
Phone
(818) 624-4422

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-05

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 Washington