Individual
MONIQUE R CHAMBLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S SPRINGFIELD RD, CLIFTON HEIGHTS, PA 19018-2364
(267) 595-6978
Mailing address
4410 TOWNSHIP LINE RD APT C4, DREXEL HILL, PA 19026-4139
(215) 910-9931
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO279433
PA
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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