Most Relevant Information
Provider Data
| NPI Number: | 1003676966 |
| Provider Name: | WINIFRED POKUAA |
| Entity Type: | Individual |
| Taxonomy Code: | 310400000X |
| Specialty: | Assisted Living Facility |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2024 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
9352 HERRINGBONE DR
FORT WORTH
TX
761311842
Practice Location Phone/Fax
| Phone: | 7015908632 |
| Fax: |
Provider Mailing Location
9352 HERRINGBONE DR
FORT WORTH
TX
761311842
Provider Mailing Phone/Fax
| Phone: | 7015908632 |
| Fax: |