Individual
MRS. JESSICA A HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
145 S 19TH ST, LYNDEN, WA 98264-1724
(360) 318-1303
Mailing address
1313 FRONT ST, LYNDEN, WA 98264-1252
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017573
WA
Other
Enumeration date
01/01/2008
Last updated
01/01/2008
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