Individual
MRS. SOPHIA DIONNE LYN CHINQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10358 OLDE CLYDESDALE CIRCLE, LAKE WORTH, FL 33449
(561) 308-9389
Mailing address
2800 S OCEAN BLVD, BOCA RATON, FL 33432-8332
(561) 433-3914
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9233124
FL
Other
Enumeration date
10/20/2015
Last updated
06/01/2016
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