Individual
DAVINDRA LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2612 E ALBERT ST UNIT 2, PHILADELPHIA, PA 19125-3855
(917) 547-3030
Mailing address
2612 E ALBERT ST UNIT 2, PHILADELPHIA, PA 19125-3855
(917) 547-3030
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN749535
PA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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