WADE LARS HENDRICKSON

GILBERT, AZ
NPI1326152778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: AZ  HAD2033)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
Mr. WADE LARS HENDRICKSON BC-HIS
2107 E CATCLAW ST
GILBERT, AZ 85296-3376
Phone number: 480-735-9234
Mailing Address
Mr. WADE LARS HENDRICKSON BC-HIS
2107 E CATCLAW ST
GILBERT, AZ 85296-3376
Phone number: 480-735-9234