MICHAEL RYAN HENDRICKS

SAN DIEGO, CA
NPI1518179464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-05-04
Last Update Date2008-07-29
Business Address
Mr. MICHAEL RYAN HENDRICKS IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-9434
Mailing Address
Mr. MICHAEL RYAN HENDRICKS IDC
3075 SALMON ST
SAN DIEGO, CA 92124-3614
Phone number: 805-302-5574
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