Individual
MRS. KULUBO K SUBAH- SALEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3801 MARKET ST, SUITE 204, PHILADELPHIA, PA 19104-3153
(267) 634-6410
(267) 634-6439
Mailing address
500 POPLAR ST, SHARON HILL, PA 19079-1327
(267) 634-6410
(267) 634-6439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN537937
PA
163WH0200X
Home Health Registered Nurse
RN537937
PA
363L00000X
Nurse Practitioner
Primary
SP028807
PA
Other
Enumeration date
05/23/2013
Last updated
01/09/2024
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