Individual
ERNEST JAYDEN NGENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 W 27TH ST, ERIE, PA 16508-1524
(814) 384-7942
Mailing address
1150 W 27TH ST, ERIE, PA 16508-1524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23066049868
VA
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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