Individual
EMILY ANN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(760) 725-4357
Mailing address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101279637
VA
Other
Enumeration date
05/11/2022
Last updated
09/01/2024
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