Individual
TINA DENISE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
157 PARAGON PKWY, SUITE 800, CLYDE, NC 28721-9481
(828) 452-6675
(828) 452-6730
Mailing address
157 PARAGON PKWY, SUITE 800, CLYDE, NC 28721-9481
(828) 452-6675
(828) 452-6730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235799
NC
Other
Enumeration date
12/08/2009
Last updated
10/30/2013
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