STACI DIANE HENDRICKSON

LAWRENCE, KS
NPI1295064574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: KS  000947)
Enumeration Date2009-12-15
Last Update Date2015-05-08
Business Address
-- STACI DIANE HENDRICKSON RD
4930 OVERLAND DR
LAWRENCE, KS 66049-4132
Phone number: 785-760-4501
Mailing Address
-- STACI DIANE HENDRICKSON RD
734 N 1851ST DIAG RD
LECOMPTON, KS 66050-4114
Phone number: 785-760-4501