Individual
ELIZABETH HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 S STATE ST, CLEARFIELD, UT 84015-1813
(801) 776-0054
Mailing address
PO BOX 460, BOUNTIFUL, UT 84011-0460
(801) 776-0054
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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