Individual
CHRISTOPHER MICHAEL HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2250 OLD HARRIMAN HWY, OLIVER SPRINGS, TN 37840-4306
(865) 603-3472
Mailing address
2250 OLD HARRIMAN HWY, OLIVER SPRINGS, TN 37840-4306
(865) 603-3472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000090994
TN
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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