Individual
ELHAM ELLIE LABORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(816) 699-6073
Mailing address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(816) 699-6073
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN60757002
WA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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