MR. DESTREY D. HENDRICKS LMP NPI 1861691677

NPI Information

MR. Destrey D. Hendricks, LMP is a specialist in Arlington, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Destrey D. Hendricks, LMP NPI is 1861691677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3719 168TH ST NE
UNIT C
ARLINGTON, WA
ZIP 98223-499
Phone: (425) 501-6545

The enumeration date for this NPI number is 7/12/2007 and was last updated on 10/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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