person
Tim Hendricks
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1912582776

Tim Hendricks is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Tim Hendricks practices in Philadelphia, PA. The NPI Number for Tim Hendricks is 1912582776 and holds a License No. (Pennsylvania).

The current practice location address for Tim Hendricks is 3900 City Ave Apt J224, Philadelphia, PA and can be reached out via phone at 757-848-6822.

Location: 3900 City Ave Apt J224, Philadelphia, PA, 19131-3036
person
Provider Profile Details
NPI Number
1912582776
Provider Name
Tim Hendricks
Credential
Provider Entity Type
Individual
Gender
Male
Address
3900 City Ave Apt J224, Philadelphia, PA, 19131-3036
Phone Number
757-848-6822
Fax Number
Provider Enumeration Date
03/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3900 City Ave Apt J224
City
State
Zip
19131-3036
Phone Number
757-848-6822
Fax Number
person
Provider Business Mailing Address Details
Address
3900 City Ave Apt J224
City
State
Zip
19131-3036
Phone Number
757-848-6822
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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