AZEL WALLOCK

PEMBROKE PINES, FL
NPI1194264242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: FL  RN 9202190)
Enumeration Date2017-02-21
Last Update Date2017-02-21
Business Address
-- AZEL WALLOCK
17913 SW 5TH ST
PEMBROKE PINES, FL 33029-4119
Phone number: 954-854-4765
Mailing Address
-- AZEL WALLOCK
17913 SW 5TH ST
PEMBROKE PINES, FL 33029-4119
Phone number: 954-854-4765
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