Individual
MAYESO CHITHAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
146 N 60TH ST, PHILADELPHIA, PA 19139-2314
(214) 673-6327
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
744249
PA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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