Individual
MAVIS RUKAMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 MAIN ST, HELLERTOWN, PA 18055-1721
(610) 814-7300
(484) 241-4490
Mailing address
427 MAIN ST, HELLERTOWN, PA 18055
(610) 814-7300
(484) 241-4490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN559071
PA
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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