Individual
ONALEE JEAN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7573 STATE ROUTE 54, BATH, NY 14810-9504
(607) 776-2247
Mailing address
7573 STATE ROUTE 54, BATH, NY 14810-9504
(607) 776-2247
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
308453
NY
Other
Enumeration date
10/22/2017
Last updated
03/17/2018
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