WESLEY SCOTT HENRICKSEN

LONGVIEW, WA
NPI1801195375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WA  MD60477315)
Enumeration Date2011-03-22
Last Update Date2017-03-09
Business Address
-- WESLEY SCOTT HENRICKSEN
971 11TH AVE
LONGVIEW, WA 98632-2503
Phone number: 360-577-1771
Mailing Address
-- WESLEY SCOTT HENRICKSEN
971 11TH AVE
LONGVIEW, WA 98632-2503
Phone number: 360-577-1771
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