Individual
JISEL HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3401 PGA BLVD STE 410, PALM BEACH GARDENS, FL 33410-2825
(561) 627-3773
Mailing address
1601 CLINT MOORE RD STE 215, BOCA RATON, FL 33487-5716
(019) 393-9561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2235
FL
Other
Enumeration date
11/12/2018
Last updated
10/21/2020
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