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Individual

SIMONE HENDRICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2 LOVETON CIR STE G100, SPARKS, MD 21152-9273
(410) 472-2672
Mailing address
12 NIGHTINGALE WAY APT C2, LUTHERVILLE TIMONIUM, MD 21093-7334
(347) 731-0500

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001324
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/26/2018
Last updated
01/09/2024
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