Individual
KEREN GRACE MELEGRITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 BORBECK AVE, PHILADELPHIA, PA 19152-3725
(267) 232-8285
Mailing address
2108 BORBECK AVE, PHILADELPHIA, PA 19152-3725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN733356
PA
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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