Individual
MRS. JOANNE HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
595 CHAPEL HILLS DR, SUITE 103, COLORADO SPRINGS, CO 80920-1022
(719) 599-5083
(719) 599-3291
Mailing address
595 CHAPEL HILLS DR, STE 103, COLORADO SPRINGS, CO 80920-1022
(719) 599-5083
(719) 599-3291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1091
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08010910
—
CO
Enumeration date
09/13/2005
Last updated
05/11/2010
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