Individual
CAMILLE IMANI HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3411 WAYNE AVE, BRONX, NY 10467-2509
(914) 426-7699
Mailing address
4029 BARNES AVE # 3, BRONX, NY 10466-4309
(914) 426-7699
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
846009
NY
163WH0200X
Home Health Registered Nurse
846009
NY
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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