Individual
JENNIFER LEIGH HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-6580
Mailing address
11371 ELDORADO ST NE UNIT D, BLAINE, MN 55449-4550
(763) 464-8610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10504
MN
Other
Enumeration date
07/18/2008
Last updated
03/11/2021
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