Individual
MR. LESLIE D. HENDRICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HTASCP
Contact information
Practice address
808 S 1680 W, OREM, UT 84058-5876
(801) 221-1899
(801) 221-1899
Mailing address
808 S 1680 W, OREM, UT 84058-5876
(801) 221-1899
(801) 221-1899
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
Primary
—
UT
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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