Mark Hennecken, LPN
NPI #1811536717 in Milton, Washington
Provider Information
- NPI Number
- 1811536717
- Entity Type
- Individual
- Name
- Mark Hennecken, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 26, 2019
- Last Updated
- Sep 19, 2024
Practice Location
- Address
- 7224 PACIFIC HWY E.
- City
- Milton
- State
- Washington
- ZIP Code
- 98354
- Phone
- (253) 220-6183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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