Individual
MS. WHOOPI TENNEH MASSAQUOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 N 51ST AVE STE 4, PHOENIX, AZ 85031-1295
(623) 846-7575
(623) 836-3778
Mailing address
4700 N 51ST AVE STE 4, PHOENIX, AZ 85031-1295
(623) 846-7575
(623) 836-3778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TP8827
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP8827
AAPA
AZ
Enumeration date
08/25/2019
Last updated
12/28/2021
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