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Individual
CAROLYN MARIE HENDRICKSON
Active
Individual
CAROLYN MARIE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111424
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A111424
CA
207RP1001X
Pulmonary Disease Physician
Primary
A111424
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/24/2009
Last updated
04/29/2026
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