Individual
MR. ZAZA L KANDAKAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTER HEALTH ADMIN
Contact information
Practice address
20 LINCOLN AVE, BRISTOL, PA 19007-5311
(718) 954-1985
Mailing address
1200 VETERANS HWY # C9A, BRISTOL, PA 19007-2525
(718) 954-1985
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6850321
PA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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