Individual
LEIGH RAPHAEL FOPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 E MARSHALL ST, WEST CHESTER, PA 19380-5414
(610) 436-1192
Mailing address
440 E MARSHALL ST, WEST CHESTER, PA 19380-5414
(610) 436-1192
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014273
PA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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