HEREWARD PENNYCOOKE

LAUDERDALE LAKES, FL
NPI1053072421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
(Licence: FL  11754900)
Enumeration Date2022-01-06
Last Update Date2022-01-06
Business Address
HEREWARD PENNYCOOKE
3489 NW 24TH ST
LAUDERDALE LAKES, FL 33311-2610
Phone number: 954-822-3092
Mailing Address
HEREWARD PENNYCOOKE
3489 NW 24TH ST
LAUDERDALE LAKES, FL 33311-2610
Phone number: 954-822-3092
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