JAKE ROBERT HENIGE

FRESNO, 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 Date2026-04-03
Business Address
JAKE ROBERT HENIGE
1300 E SHAW AVE STE 149
FRESNO, CA 93710-7903
Phone number: 559-554-9710
Mailing Address
JAKE ROBERT HENIGE
8033 N GLENN AVE APT 105
FRESNO, CA 93711-6804
Phone number: 650-649-9016