Individual
MS. LILIYA GUREVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
7906 FRONTENAC ST, PHILADELPHIA, PA 19111-2902
(267) 984-1505
Mailing address
7906 FRONTENAC ST, PHILADELPHIA, PA 19111-2902
(267) 984-1505
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP016799
PA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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