Individual
HENRIETTA EKOKOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N7, CORNER OF ROUTES N12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
N7, CORNER OF ROUTES N12, FORT DEFIANCE, AZ 86504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64156
FL
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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