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Dominique S Hendricks
Licensed Practical Nurse in Anmoore, West Virginia
NPI 1083490031

Dominique S Hendricks is a Licensed Practical Nurse based in Anmoore, WV. Dominique S Hendricks practices in Anmoore, WV. The NPI Number for Dominique S Hendricks is 1083490031 and holds a License No. 40469 (West Virginia).

The current practice location address for Dominique S Hendricks is 67 Casino Drive, Anmoore, WV and can be reached out via phone at 304-622-1684 and via fax at 304-622-0810.

Location: 67 Casino Drive, Anmoore, WV, 26323-0315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083490031
Provider Name
Dominique S Hendricks
Credential
Provider Entity Type
Individual
Gender
Female
Address
67 Casino Drive, Anmoore, WV, 26323-0315
Phone Number
304-622-1684
Fax Number
304-622-0810
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
67 Casino Drive
City
Anmoore
State
West Virginia
Zip
26323
Phone Number
304-622-1684
Fax Number
304-622-0810
person
Provider Business Mailing Address Details
Address
67 Casino Drive
City
Anmoore
State
West Virginia
Zip
26323
Phone Number
304-622-1684
Fax Number
304-622-0810
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
40469 (West Virginia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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