Individual
ARTEMISA BALILAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
639 KIMBALL ST, PHILADELPHIA, PA 19147-4801
(215) 888-9523
Mailing address
639 KIMBALL ST, PHILADELPHIA, PA 19147-4801
(215) 888-9523
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP024981
PA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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