MARK THIELENHAUS

LODI, CA
NPI1396574877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374K00000X Religious Nonmedical Practitioner
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
MARK THIELENHAUS
622 N SACRAMENTO ST
LODI, CA 95240-1256
Phone number: 209-367-9560
Mailing Address
MARK THIELENHAUS
525 W LOCKEFORD ST
LODI, CA 95240-1946
Phone number: 209-369-5896