Individual
MS. MELISSA ANN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
200 SCENERY DR, STATE COLLEGE, PA 16801-7974
(814) 231-4560
(814) 231-6246
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004290
PA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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