Individual
ANGIE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 PARKCENTRE WAY, NAMPA, ID 83651-1783
(208) 573-0968
(208) 463-0972
Mailing address
823 PARKCENTRE WAY, NAMPA, ID 83651-1783
(208) 573-0968
(208) 463-0972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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