| Mark Hennecken, LPN | |
|
7224 Pacific Hwy E., Milton, WA 98354 | |
| (253) 220-6183 | |
| Not Available |
| Full Name | Mark Hennecken |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 7224 Pacific Hwy E., Milton, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811536717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 60984646 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Hennecken, LPN 8117 70th Ave Sw, Lakewood, WA 98499-2009 Ph: (720) 339-3306 | Mark Hennecken, LPN 7224 Pacific Hwy E., Milton, WA 98354 Ph: (253) 220-6183 |
Joseph Montero, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-205-8683 Fax: 253-458-7845 | |
Angel Powell, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-205-0175 | |
Kim A Lovett, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Highway East, Milton, WA 98385 Phone: 253-220-6183 | |
Melody Jackson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-220-6183 | |
David Yearwood, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7224 Pacific Hwy E, Milton, WA 98354 Phone: 253-205-0175 |