Individual
RYAN LAMONT CLIKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-2000
Mailing address
7113 CHEROKEE ST, PHILADELPHIA, PA 19119-2962
(215) 262-1857
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP020352
PA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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