BENJAMIN HENDRICKSON

LA CROSSE, WI
NPI1871971606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
BENJAMIN HENDRICKSON
1725 STATE ST
LA CROSSE, WI 54601-3742
Phone number: 507-654-5008
Mailing Address
BENJAMIN HENDRICKSON
1725 STATE ST
LA CROSSE, WI 54601-3742
Phone number: