Most Relevant Information
Provider Data
| NPI Number: | 1003279209 |
| Provider Name: | ANDREA GRACE HENKEL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2016 |
| Last Updated: | 04/26/2024 |
Provider Practice Location
300 PASTEUR DR
STANFORD
CA
943052200
Practice Location Phone/Fax
| Phone: | 6507234000 |
| Fax: | 6507237737 |
Provider Mailing Location
3850 TUNLAW RD NW
APT 507
WASHINGTON
DC
200074806
Provider Mailing Phone/Fax
| Phone: | 6514024324 |
| Fax: |