Individual
AWA JAWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6695
(206) 876-0820
Mailing address
1928 SW 5TH RD, FORT LAUDERDALE, FL 33312-7714
(206) 876-0820
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9592364
FL
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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