Individual
KENYA BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1607 SURRY CT, NEW CASTLE, DE 19720-4446
(302) 324-1885
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA 0348478
DE
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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