Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARILYN MARIE HENDRICKSON
Active Sole ProprietorMARILYN MARIE HENDRICKSON is a Optician, Dispensing healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1750407391 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1750407391
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2007 (19.416951434561 yrs)
- Last Updated
- Jul 9, 2007
- License
-
NO LICENSE REQUIRED (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20242 STICK ROSS MOUNTAIN RDTAHLEQUAH, OK, 744647374Browse OK providers · Browse ZIP 74464
- Phone
- 9184561133
- Fax
- 9184561133
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.