Amanda Joanne Hendricks, L.P.N.
Psychiatric Hospital in Tacoma, WA. Individual provider (NPI-1).
NPI number1942481841
StatusActive
Last updated in NPPESNov 19, 2007
Details
- NPI
- 1942481841
- Entity type
- Individual (NPI-1)
- Name
- Amanda Joanne Hendricks
- Credential
- L.P.N.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2007
- Last updated
- Nov 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | LP00051736 | WA | Yes |
Practice location
815 S Pearl StTacoma, WA 98465-2117
Phone 253-396-5930
Mailing address
Po Box 2436Silverdale, WA 98383-2436
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