Individual
HENRIETTA NWAOKOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 NW 170TH ST STE 301, NORTH MIAMI BEACH, FL 33169-5511
(305) 651-3038
Mailing address
7230 VENETIAN ST, MIRAMAR, FL 33023-2631
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9115011
FL
Other
Enumeration date
09/21/2021
Last updated
04/23/2022
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