Angie Hendrix

NPI #1083073902 in Nampa, Idaho

Provider Information

NPI Number: 1083073902
Entity Type: Individual
Name: Angie Hendrix
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 19, 2016
Last Updated: Feb 19, 2016

Practice Location

Address: 823 PARKCENTRE WAY
City: Nampa
State: Idaho
ZIP Code: 83651-1783
Phone: (208) 573-0968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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