Individual
MR. PATRICK JAJUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2146 S BROAD ST, SECOND FLOOR, PHILADELPHIA, PA 19145-3905
(267) 519-0672
Mailing address
2146 S BROAD ST, SECOND FLOOR, PHILADELPHIA, PA 19145-3905
(267) 519-0672
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290051
PA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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