JAKE ROBERT HENIGE

SAN CARLOS, CA
NPI1255147849
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  1255147849)
Enumeration Date2024-12-09
Last Update Date2026-08-17
Business Address
JAKE ROBERT HENIGE
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070-2317
Phone number: 650-649-9016
Mailing Address
JAKE ROBERT HENIGE
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070-2317
Phone number: 650-649-9016