Individual
DR. JEAN E LEE HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
171 KEMPSVILLE RD, NORFOLK, VA 23502-4700
(757) 668-6500
Mailing address
171 KEMPSVILLE RD, BUILDING B, NORFOLK, VA 23502-4700
(757) 668-6500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101253677
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/24/2010
Last updated
05/23/2013
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