Individual
KIMBERLY MARIE GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
(610) 684-4569
Mailing address
5834 CRITTENDEN ST, PHILADELPHIA, PA 19138-1908
(215) 549-6486
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
4001-0107-0554-339
DC
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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