Individual
MRS. AMY ANN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 ROSSONS CROSS WAY, NORTH POLE, AK 99705-7909
(907) 451-0389
Mailing address
2545 ROSSONS CROSS WAY, NORTH POLE, AK 99705-7909
(907) 490-3004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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