Individual
MR. MIGUEL CUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
8220 CASTOR AVE, PHILA, PA 19152-2729
(215) 728-4665
(215) 745-6511
Mailing address
8220 CASTOR AVE, PHILA, PA 19152-2729
(215) 728-4665
(215) 745-6511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN273476L
PA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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