Individual
GERALD MORIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2659 S LLOYD ST, PHILADELPHIA, PA 19153-2418
(732) 979-3261
Mailing address
2659 S LLOYD ST, PHILADELPHIA, PA 19153-2418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN577638
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP031187
PA
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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