Individual
VANESSA AWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 W HENDERSON AVE, PORTERVILLE, CA 93257-1588
(403) 542-8318
Mailing address
222 STATION PLZ N STE 518, MINEOLA, NY 11501-3893
(516) 663-0333
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1831761238
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2021
Last updated
04/20/2025
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