Kourtney Hendricks

NPI #1063010155 in Petersburg, Virginia

Provider Information

NPI Number: 1063010155
Entity Type: Individual
Name: Kourtney Hendricks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Oct 12, 2020
Last Updated: Oct 12, 2020

Practice Location

Address: 1641 DARBY DR
City: Petersburg
State: Virginia
ZIP Code: 23803-5331
Phone: (804) 586-1216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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