Individual
MISS NITASHA KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(650) 521-4031
Mailing address
3900 WARREN ST APT 304, PHILADELPHIA, PA 19104-5492
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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