Individual
LUCY KIBOGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1984 DAYBREAK CIR, HARRISBURG, PA 17110-9297
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN267117
PA
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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