Provider Demographics
NPI:1609534460
Name:ZODUA, HENRIETTA F. ASKIE
Entity Type:Individual
Prefix:
First Name:HENRIETTA F.
Middle Name:ASKIE
Last Name:ZODUA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 GRANT RD
Mailing Address - Street 2:
Mailing Address - City:FOLCROFT
Mailing Address - State:PA
Mailing Address - Zip Code:19032-1712
Mailing Address - Country:US
Mailing Address - Phone:502-975-0186
Mailing Address - Fax:
Practice Address - Street 1:802 GRANT RD
Practice Address - Street 2:
Practice Address - City:FOLCROFT
Practice Address - State:PA
Practice Address - Zip Code:19032-1712
Practice Address - Country:US
Practice Address - Phone:502-975-0186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion