Individual
STORMIE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
841 RIVERSIDE DR, AUGUSTA, ME 04330-8302
(207) 213-4616
(207) 213-4727
Mailing address
841 RIVERSIDE DR, AUGUSTA, ME 04330-8302
(207) 213-4616
(207) 213-4727
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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