Individual
KALYCA LEYANA DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
213 REECEVILLE RD, SUITE 27, COATESVILLE, PA 19320-1528
(610) 383-9333
Mailing address
902 PAINTERS XING, CHADDS FORD, PA 19317-9631
(484) 574-8036
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP012373
PA
Other
Enumeration date
09/21/2012
Last updated
02/03/2015
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