Individual
MRS. ALISA M. HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3719 168TH ST NE, UNIT C, ARLINGTON, WA 98223-8499
(425) 501-6545
Mailing address
3719 168TH ST NE, UNIT C, ARLINGTON, WA 98223-8499
(425) 501-6545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017659
WA
Other
Enumeration date
07/12/2007
Last updated
10/14/2009
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