Individual
LIDIA GUDYASOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 PHILMONT AVE STE 205, HUNTINGDON VALLEY, PA 19006-5308
(267) 290-0261
Mailing address
2600 PHILMONT AVE, HUNTINGDON VALLEY, PA 19006-5306
(267) 290-0261
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
06/17/2024
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