Most Relevant Information
Provider Data
NPI Number: | 1003032707 |
Provider Name: | SHARON MAE HENDRIX L.V.N. |
Entity Type: | Individual |
Taxonomy Code: | 164X00000X |
Specialty: | Licensed Vocational Nurse |
License Number: | VN78039 |
Most Important Dates
Enumeration Date: | 04/18/2007 |
Last Updated: | 01/04/2017 |
Provider Practice Location
955 W CENTER ST
MANTECA
CA
953377300
Practice Location Phone/Fax
Phone: | 2092399600 |
Fax: |
Provider Mailing Location
955 W CENTER ST
MANTECA
CA
953377300
Provider Mailing Phone/Fax
Phone: | 2092399600 |
Fax: |