Individual
JODIE HENRIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 MARION SQ, FAIRMONT, WV 26554-1369
(403) 366-2241
Mailing address
420 MARION SQ, FAIRMONT, WV 26554-1369
(403) 366-2241
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1097
WV
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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