Individual
NICOLE LEA WENNINGHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
4323 CRESTFIELD AVE, HOLIDAY, FL 34691-1604
(727) 483-0986
Mailing address
4323 CRESTFIELD AVE, HOLIDAY, FL 34691-1604
(727) 483-0986
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RRT11273
FL
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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