Individual
MR. MARTIN ELKANAH OMUKHANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
362 LINCOLN AVE, BELLEVUE, PA 15202-3756
(412) 734-1100
Mailing address
362 LINCOLN AVE, BELLEVUE, PA 15202-3756
(412) 734-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP025870
PA
Other
Enumeration date
07/08/2022
Last updated
10/14/2024
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