Individual
MS. JENNIFER THUY KHANH LATEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 S FEDERAL HWY, DEERFIELD BEACH, FL 33441-5767
(954) 421-8181
(954) 426-2967
Mailing address
10617 SW 6TH ST, PEMBROKE PINES, FL 33025-6903
(305) 788-3927
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9102753
FL
Other
Enumeration date
10/17/2006
Last updated
09/13/2016
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