Individual
TINA HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10110 SOUTH 7650 EAST, CROW AGENCY, MT 59022-0009
(406) 638-3556
(406) 638-3482
Mailing address
516 EPKARISCH, PRYOR, MT 59066-0042
(406) 638-3556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
45662
MT
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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