Individual
WILLIAMINA LEBAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR/CEO
Contact information
Practice address
4032 MARKLAND ST, PHILADELPHIA, PA 19124-5330
(267) 880-7691
Mailing address
4032 MARKLAND ST, PHILADELPHIA, PA 19124-5330
(267) 880-7691
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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