HENRIETTE BARBARA BERTHEAU AVILA

LAKE WALES, FL
NPI1740055201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11029632)
Enumeration Date2023-11-15
Last Update Date2023-11-21
Business Address
HENRIETTE BARBARA BERTHEAU AVILA
1120 CARLTON AVE
LAKE WALES, FL 33853-4348
Phone number: 305-323-3177
Mailing Address
HENRIETTE BARBARA BERTHEAU AVILA
1120 CARLTON AVE
LAKE WALES, FL 33853-4348
Phone number: 863-270-4546
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