MEDICARE: MRS. ARLYNNDRIA WOKEME R.D.H

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	DH21053	FL

General Provider Information

NPI Number	:	1043695430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ARLYNNDRIA WOKEME R.D.H

Provider Business Mailing Address
First Line	:	3844 DAVIS ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-4223
Country	:	US
Telephone Number	:	504-300-6765
Fax Number	:

Provider Business Practice Location Address
First Line	:	3844 DAVIS ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-4223
Country	:	US
Telephone Number	:	504-300-6765
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	07/27/2015

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