HEREWARD PENNYCOOKE

Attendant Care Provider

NPI: 1053072421Individual

Specialties, Licenses & Credentials

Attendant Care ProviderPrimary

Technician — Attendant Care Provider

Code: 3747A0650X

11754900(FL)

Contact & Hours

Address: 3489 NW 24TH ST
LAUDERDALE LAKES, FL 33311
Phone: (954) 822-3092

Quick Facts

NPI: 1053072421
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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