JOHANNA HENDRICKSON

HEBER CITY, UT
NPI1447416516
Former NameJOHANNA HASTLER-ROJAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  5317663-1206)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
363AS0400X Physician Assistant, Surgical
(Licence: VA  0110007662)
Enumeration Date2008-07-29
Last Update Date2021-08-12
Business Address
JOHANNA HENDRICKSON PA-C
454 E MEDICAL WAY
HEBER CITY, UT 84032-1391
Phone number: 435-657-4400
Mailing Address
JOHANNA HENDRICKSON PA-C
220 CAMPUS BLVD STE 100
WINCHESTER, VA 22601-2896
Phone number: 540-536-5100