Individual
MS. MEMUNA JALLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
747 N 63RD ST, PHILADELPHIA, PA 19151-3804
(215) 688-8828
Mailing address
1027 SERRILL AVE, YEADON, PA 19050
(215) 688-8828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN312012
PA
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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