Individual
JONATHAN JANJAY GBAPAYWHEA JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(267) 513-1995
Mailing address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(267) 513-1995
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN291887
PA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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