Individual
ABU MARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7248 ELMWOOD AVE, PHILADELPHIA, PA 19142-1533
(267) 292-2876
(267) 292-2936
Mailing address
2204 ALFRED DR APT D, YEADON, PA 19050-4153
(484) 466-1038
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN286181
PA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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