Individual
TREASA HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 HART DR, CLINTON, WI 53525-9104
(608) 931-6013
Mailing address
506 HART DR, CLINTON, WI 53525-9104
(608) 931-6013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218361
WI
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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