MR. Jack Ernest Hendrickson, LPN

NPI #1134191455 in Ft Wainwright, Alaska

Provider Information

NPI Number
1134191455
Entity Type
Individual
Name
MR. Jack Ernest Hendrickson, LPN
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1060 GAFFNEY RD
Address 2
COMMANDER, USA-MEDDAC-AK, ATTN; MCUC-MMD-QM
State
Alaska
ZIP Code
99703-5001
Phone
(907) 353-1207

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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