Individual
KYOKO KAJIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SHANNON LANE, PORTERSVILLE, PA 16051
(954) 326-6501
Mailing address
101 SHANNON LANE, PORTERSVILLE, PA 16051
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
PTA 19957
FL
172V00000X
Community Health Worker
Primary
TE008638
PA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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