Individual
KERRI ANN HENDRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
450 SUTTER ST, SUITE 2307, SAN FRANCISCO, CA 94108-4206
(415) 404-6644
Mailing address
3221 BRODERICK ST, SAN FRANCISCO, CA 94123-1810
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27017
CA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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