Mark Thielenhaus
Mark Thielenhaus is a Religious Nonmedical Practitioner in Lodi, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
622 N Sacramento StLodi, CA 95240-1256
Phone: (209) 367-9560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Religious Nonmedical Practitioner (primary) | Taxonomy 374K00000X |
|---|
Record details
| NPI number | 1396574877 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 31, 2024 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | July 31, 2024 |
| Mailing address | 525 W Lockeford St, Lodi, CA 95240-1946 |