Sydney Hendricks LLC
Nurse Practitioner, Family in Pomona, CA. Organization (NPI-2).
NPI number1760097877
StatusActive
Last updated in NPPESSep 23, 2020
Details
- NPI
- 1760097877
- Entity type
- Organization (NPI-2)
- Legal business name
- Sydney Hendricks LLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2020
- Certification date
- Sep 23, 2020
- Last updated
- Sep 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
1798 N Garey AvePomona, CA 91767-2918
Phone 909-865-9500
Mailing address
15179 Fox Ridge DrFontana, CA 92336-0206
Phone 909-996-7621
Authorized official
Sydney Siyon Hendricks
Owner
9099967621
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