Individual
ROSALIND MARIE KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
22662 HILLTOP RD, POTEAU, OK 74953-9058
(918) 658-8452
Mailing address
PO BOX 28414, SANTA FE, NM 87592-8414
(918) 658-8452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700117512
—
NM
Enumeration date
01/18/2010
Last updated
01/06/2017
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