Individual
EMMANUEL MUKENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2250 HICKORY RD, SUITE 250, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
6496 LINCOLN CT, EAST PETERSBURG, PA 17520-1022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN598241
PA
363LF0000X
Family Nurse Practitioner
Primary
SP016543
PA
Other
Enumeration date
06/17/2010
Last updated
01/30/2019
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