TIMOTHY ALLEN HENDRICKSON

HAMBURG, IA
NPI1578848594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IA  P36311)
Enumeration Date2011-10-21
Last Update Date2011-10-21
Business Address
-- TIMOTHY ALLEN HENDRICKSON LPN-C
1305 BLUFF ST
HAMBURG, IA 51640-1345
Phone number: 402-202-9830
Mailing Address
-- TIMOTHY ALLEN HENDRICKSON LPN-C
1305 BLUFF ST
HAMBURG, IA 51640-1345
Phone number: 402-202-9830