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MR. THOMAS JAMES HENDRICKSON DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1861688285

Individual Registrant:
MR. THOMAS JAMES HENDRICKSON DC
Gender: M
Sole Proprietor

Location and contact information for practice:
388 COLUSA CIRCLE  KENSINGTON, CA 94707 US
Tel: 510-524-8256  Fax: 510-524-8242

Contact information for business:
388 COLUSA CIRCLE  KENSINGTON, CA 94707 US
Tel: 510-524-8256  Fax: 510-524-8242

Registration Information:
NPI: 1861688285
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CA0182320

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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