Individual
ED JERALD HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 DOUGLAS BLVD, SUITE 200, ROSEVILLE, CA 95661-3300
(916) 773-1191
(916) 773-0498
Mailing address
2510 DOUGLAS BLVD, SUITE 200, ROSEVILLE, CA 95661-3300
(916) 773-1191
(916) 773-0498
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
G22146
CA
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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