Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family Health |
364SF0001X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1013542174 |
| LBN Legal business name | HENDAWI FAMILY PRACTICE |
| Authorized official | TARIQ HENDAWI - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/10/2020 |
| Last updated | 04/03/2020 - About 6 years ago |
| Identifiers | n/a |
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HENDAWI FAMILY PRACTICE
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