Individual
LAKISHA KUMEDZRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
5571 OLD PHILADELPHIA PIKE, GAP, PA 17527-9227
(717) 429-6834
Mailing address
5571 OLD PHILADELPHIA PIKE, GAP, PA 17527-9227
(717) 429-6834
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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