Individual
JAYAVANTIKA ROHAN MIRCHANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(484) 551-3366
Mailing address
235 W LANCASTER AVE, DEVON, PA 19333-1560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024570
PA
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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