Individual
MAMIE YUK-MING WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4511 N DAVIS HWY STE C-1, PENSACOLA, FL 32503-2734
(850) 476-9088
Mailing address
5827 CREEK STATION DR, PENSACOLA, FL 32504-8699
(850) 291-1699
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2917921-00
—
FL
Enumeration date
10/05/2006
Last updated
07/08/2007
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