Individual
VANESSA HENDRICKX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
992 W IDAHO AVE, ONTARIO, OR 97914-2111
(208) 741-3336
Mailing address
1403 N ELDORADO ST APT 103, BOISE, ID 83704-8599
(574) 386-5351
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/28/2022
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