Individual
MS. MARY K OGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4240 CHIPPENDALE ST, PHILADELPHIA, PA 19136-3604
(215) 332-4176
(215) 332-4176
Mailing address
4240 CHIPPENDALE ST, PHILADELPHIA, PA 19136-3604
(215) 332-4176
(215) 332-4176
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN094691L
PA
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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