Individual
EMMANUEL KAMBOUROGLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 LONG FARM LANE, LANCASTER, PA 17601-3402
(717) 875-0868
Mailing address
2720 LONG FARM LANE, LANCASTER, PA 17601-3402
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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