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Individual

LINDA HENDRYCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
4791 SUMMIT RIDGE DRIVE, RENO, NV 89523
(775) 624-2200
(775) 624-2211
Mailing address
200 HOGE RD, RENO, NV 89506-9063
(775) 929-7654

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
P.A.540
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2416880
NV
Enumeration date
02/07/2007
Last updated
07/08/2007
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