Individual
LAKIA MERCEDES GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 WOODLAND AVE FL 2, PHILADELPHIA, PA 19142-3200
(267) 597-5226
Mailing address
4700 WISSAHICKON AVE STE 118, PHILADELPHIA, PA 19144-4248
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH068098
PA
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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