Individual provider · Type 1 NPI
Mark Thielenhaus
Religious Nonmedical Practitioner · Lodi, CA
NPI number
1396574877
Active
Practice location
622 N Sacramento St
Lodi, CA 95240-1256
Mailing address
525 W Lockeford St
Lodi, CA 95240-1946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1396574877
Mark Thielenhaus's National Provider Identifier is 1396574877, issued on Jul 31, 2024. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Lodi, CA. The record was last updated on Jul 31, 2024.