Provider Information for 1932449733
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Mrs. SHERRI MARIE MKHWANE
Sex: Female
NPI: 1932449733
Last Updated: 2024-10-03
Certification Date: 2024-10-03
Certification Date: 2024-10-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932449733 | ||||||||
| Enumeration Date | 2013-02-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2509 S SHELLY AVE INVERNESS, FL 34450-6417 United States Phone: 352-287-8696 | Fax: | ||||||||
| Primary Practice Address | 2509 S SHELLY AVE INVERNESS, FL 34450-6417 United States Phone: 352-287-8696 | Fax: | ||||||||
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