Individual
LEAH F HENDRIKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 VAUXHALL ST, NEW LONDON, CT 06320-5711
(860) 437-4550
Mailing address
PO BOX 120, NEW LONDON, CT 06320-0120
(860) 437-4550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E54538
CT
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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