Individual
MR. JOSHUA LEE HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PBT, RMA
Contact information
Practice address
3301 N 1ST AVE, APT 2H, DURANT, OK 74701-2545
(580) 380-0463
Mailing address
3301 N 1ST AVE, APT 2H, DURANT, OK 74701-2545
(580) 380-0463
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
10008A
OK
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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