Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH21053 | FL |
NPI | 1043695430 |
---|---|
Provider Name | Mrs. Arlynndria Wokeme |
First Address | Norfolk, VA 23513-4223 |
Second Address | Norfolk, VA 23513-4223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2015 |
Last Update Date | 27/07/2015 |