Individual
JUDY HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1111 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 938-0228
Mailing address
13000 WEST LN, HERALD, CA 95638-9782
(209) 748-2326
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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