Individual
AYUB NDIGIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
22 BOGGS LN, BEAR, DE 19701-3084
(302) 690-6517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0009235
DE
164W00000X
Licensed Practical Nurse
PN278818
PA
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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