Individual
MRS. SUZANNE MARIE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, BSBH
Contact information
Practice address
607 EAST MAIN STREET, LANSDALE, PA 19446
(215) 362-4950
Mailing address
607 EAST MAIN STREET, LANSDALE, PA 19446
(215) 362-4950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN076959L
PA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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