Individual
STELLA J KAITHAKKARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-3848
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-3848
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN521144L
PA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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