Individual
STELLAH KWAMBOKA MAKANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3544 N PROGRESS AVE STE 104, HARRISBURG, PA 17110-9480
(717) 652-3199
(717) 690-3611
Mailing address
2552 TIFFANY LN, HARRISBURG, PA 17112-8627
(717) 712-2350
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN641196
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103488349-0001
—
PA
Enumeration date
10/13/2022
Last updated
10/13/2022
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