MR. Destrey D. Hendricks, LMP

NPI #1861691677 in Arlington, Washington

Provider Information

NPI Number
1861691677
Entity Type
Individual
Name
MR. Destrey D. Hendricks, LMP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
LMP
Enumeration Date
Jul 12, 2007
Last Updated
Oct 14, 2009

Practice Location

Address
3719 168TH ST NE
Address 2
UNIT C
ZIP Code
98223-8499
Phone
(425) 501-6545

Specialties & Taxonomy Codes

Specialty
Specialist

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